EFTA00077917.pdf

PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT CONTRIBUTOR'S COPY PBPO Form *52 U PROPERTY [a FOUND 0 DECEASED (Probated) Clil PERSONAL 0 CONFISCATED U DESTROY U EVIDENCE U TRIAL LI LABORATORY U STOLEN/RECOVERED 01OTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank) ADDRESS WHERE PROPERTY IMPOUNDED DISCOVERED BY / D.O.B. ADDRESS Street City Zip PHONE NUMBER OWNER'S NAME / D.O.B. ADDRESS Street City Zip PHONE NUMBER SUSPECTS NAME / D.O.B. ADDRESS Street City Zip PHONE NUMBER ADDT'NL SUSPECT / D.O.B. ADDRESS Street City Zip PHONE NUMBER SPECIAL INSTRUCTIONS FOUND PROPERTY CLAIM C..1 90 DAYS NOT CLAIM U ITEM # QUANTITY VALUE DESCRIPTION TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list represents all property taken I hereby acknowledge that the above list represents all property impounded from me and that I have received a copy of this receipt. by me in the official performance of my duty as a police officer. SIGNATURE DATE SIGNATURE ID# UNIT RECEIVED BY REASON DATE/TIME RECEIVED EFTA00077917