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Case 1:15-cv-07433-LAP Document 1328-21 Filed 01/05/24 Page 6 of 19 Date: 4/25/16 ROYAL PALM BEACH POLICE DEPARTMENT Page: 4 Time: 8:52:07 Offense Report Program: CMS301L 1-97-002687 (Continued) Category . . . : PROP/EVIDENCE--NO VALUE UCR Prop Type : CLOTHING AND FURS Quantity... : 1 Serial number : BL/WHT Description . : CLINCH SHIRT Value ... : 25.00 Recovered by . : OFC. WIKSE Recovered Date : 11/04/97 14:40 Property type : CLOTHING/FURS Recovery value : 25.00 KaARRKHEKA PROPERTY INFORMATION # 19 RERKRR RARER EHH Category... . : PROP/EVIDENCE--NO VALUE UCR Prop Type : CLOTHING AND FURS Quantity... 3: 1 Name . .. . . : THIRD RAIL Description . : THIRD RATL JEANS Value ... : 35.00 Recovered by . : OFC. WIKSE Recovered Date : 11/04/97 14:40 Property type : CLOTHING/FURS Recovery value : 35.00 KeEKKHKKE PROPERTY IONFORMATION # QO RRR RIERA KHIR Category . . . : PROP/EVIDENCE--NO VALUE UCR Prop Type : CLOTHING AND FURS Quantity ...: 1 Serial number : MULTI COLOR LEATHER Deseription . : BELT Value... : 10.00 Recovered by . +: OFC. WIKSE Recovered Date : 11/04/97 14:40 Property type : CLOTHING/FURS Recovery value : 10.00 KEKREKKKRKE VERT Cc L E INF ORMATION F 3 1 ERREKRKERKEKERERREKEREEER Case number . : 1-97-002687 RHREKEKER COMPLAINANT INFORMATION - §& 1 tkkeeaae kate Case Number. -97-002687 Last Name .. : Street Number City... Home Phone No. ness Phone : 561/000-0000 Birth Date .. : Birth Country : Unknown Oper Lic catry : Unknown Race... . ? Black Sex .. . : Female Ethnic origin : BLACK KEREKREKREAEKER Case Number Street Number s USPECT/ARRESTEE INFO TION- #1 ** 1-97-002687 Prompt valid in: City... . Home Phone No. usiness Phone : 561/000-0000 Birth Date .. : Maximum Age . : 17 Birth Country : Unknown Oper Lic Cntry : Unknown Race... . : White Sex ... : Male Ethnic origin : WHITE Minimum Height : 509 Minimum Weight : 150 Hair Color . .: Black Hair Length . : Short (Up to 1/2") Bye Color .. : Brown Complexion . . : Medium Facial Hair . ; Mustache Only Teeth ... . : Normal Build ... . : MEDIUM Speech... . : Normal Status ... . : Arrested Arrest Case No.: 1-97-006345 Shirt .. . . : BLK BAGGY PANTS xkeheekkeeeeRE SUS PECT/ARRESTEE INFORMATION- #2 ** Ae CERTIFIED 'O BE A TRUE Copy RIC L. BRADSHAW, SHERIFF GM_00788