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EFTA01688646

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TRUE COPY. PALM BAzi EPROLICREEcDEErpATRTMEa EVID & ENCE CUSTODIAN /Ng et 6 SEARCH VIARRANT RETURN O PROPERTY 0 FOUND 0 DECEASED (Probated) 0 PERSONAL 3 CONFISCATED 0 DESTROY til EVIDENCE TRIAL 0 LABORATORY 0 STOLEN/RECOVERED 0 OTHER (Lip INCIDENT/CITATION NUMBER 0 5- 3 6 8 DATE/TIME RECOVERED io -2,47 -o 5 PROPERTY NUMBER Maw Soo 0 6— 1 oa L i BIN NUMBER (Lem Blank) ADDRESS WHERE PROPERTY Or DEO a I S C 7 L.7 tr) n lb DISCOVERED BY/ D.02. ADDRESS Sinai Oly re PHONE NUMBER OWNER / VICTIMS NAME / O.O.B. ADDRESS Street Cary 29 PHONE NUMBER SU CN E/ Dieveze)-63 - DD PP ADIRgri5 0 &tee .- P-A-Alua if..k.‘ Zio PHONE NUMBER ADOOL. SUSPE.fn.dirk ADDRESS ay ZIP PHONE NUMBER SPECIAL NSTRUCTIONS FOUND PROPERTY CLAIM 0 90 DAYS NOT CLAIM 0 ITEM N QUANTITY VALUE DESCRIPTION ,fi ;e hi / 3 42 , OR V 43 -74-A A-0 h., Crecte,„ta_.- 09 0/ / I 2 GlY5 analted •iSThetki T creden 7Pc AI t /5 3, 0._ , ,a,4,41..-xt taimmutowliwo * is Ph &Los attmrd 4 A--- ni, Imp k get 70 a 0 _ _ ..., co re mar- C . /G / I; / ,rn , , a, .01 npoWeer beak- il..-7 /nu' hate .) I 1/43 C41) Cc Pril en oleo k. 19 / AV, °VIA ' Pron ., citrfkilvv. Clients "" /ti t,: Pz i, 9 4 Po tatAtta Phat 4 • ont desk Prntn / Ed Mort- --C4 al 9. Ampvi Phan 4 D On ntesk. ar •-n.a --- a s Fret meof Pito?, c SrOns itt 1: /t -1". sho Coe Si t 3 -te Soar on gore. , Nre eee n droo;v7LICat inummiumeino -riv ifri Mired 0 lle) /8 ow bo Men an e....,,,,,t (nilidir 6,462.14,,c4,-.2/.... .2 S a AG ( ,6,27,,, cart) attfr.,,,,t p kkvere csinvi Fyer ;hit nu... e le r TOTAL PACKAGE WEIGHT tam ercas-k ) I hereby acknowledge that the above list represents ad property taken from me and that I have received a copy of this receipt. I hereby ackno edge that the above list represents all property impounded of my duty as a police officer. *2 D SIGNATURE DATE 1) RECEIVED BY REA DATE/TIME RECEIVED E

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