PALM BEACH POLICE DEPARTMENT

PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT 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 01 OTHER 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 from me and that I have received a copy of this receipt. I hereby acknowledge that the by me in the official performance above list of my represents all property impounded