PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT PSPD rpm #52 DETECTIVE BUREAU CI PROPERTY CI FOUND a DECEASED (Probated) CI PERSONAL O CONFISCATED CI DESTROY CI EVIDENCE LI TRIAL CI LABORATORY K STOLEN/RECOVERED U OTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Din) BIN NUMBER (Leave Blank) ADDRESS WHERE PROPERTY IMPOUNDED DISCOVERED BY / D.O.B. ADDRESS Sines Co ZIP PHONE NUMBER OWNER / VICOSTS NAME / D.O.B. ADDRESS Street Cay ZiP PHONE NUMBER SUSPECTS NAME / D.O.B. ADDRESS Sweet CO DP PHONE NUMBER ADDTNL. SUSPECT / D.O.B. ADDRESS Street Co Zi, PHONE NUMBER SPECIAL NSTRUCTIONS FOUND PROPERTY CLAIM O 90 DAYS NOT CLAIM K ITEM e QUANTITY VALUE DESCRIPTION / 1- I / F rdf e TOTAL PACKAGE WEIGHT I hereby acknowledge that the above ksl represents all property taken from me and that I have received a copy of this receipt. I hereby acknowledge that the above list represents all property impounded by me in the ofbaal performance of my duty as a police officer. SIGNATURE DATE SIGNATURE IDM UNIT RECEIVED BY REASON DATE/TIME RECEIVED SONY GM 00174268 EFTA_00 195921 EFTA01305957