PALM BEACH POLICE DEPARTMENT

PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT Papa Form *52 LI PROPERTY 0 FOUND U DECEASED (Probated) 0 PERSONAL 0 CONFISCATED J DESTROY Li EVIDENCE CI TRIAL U LABORATORY 0 STOLEN/RECOVERED 0 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 ADDTNL SUSPECT / D.O.B. ADDRESS Street City Zip PHONE NUMBER SPECIAL INSTRUCTIONS PROPERTY CLAIM FOUND U 90 DAYS NOT CLAIM U ITEM it QUANTITY VALUE DESCRIPTION TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list represents I all property taken I hereby acknowledge that the above list b m in the officialperformance of my S represents all property impounded duty as a police of icec ATE ID# UNIT RECEIVED BY REAS