EFTA00038939

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DOJ Data Set 8

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PALM BEACH POLICE DEPARTMENT 
PROPERTY RECEIPT 
PBP0 Form *52 
U 
PROPERTY 
LII FOUND 
U DECEASED (Probated) 
LI PERSONAL 
LI CONFISCATED 
U DESTROY 
Lli EVIDENCE 
U TRIAL 
U LABORATORY 
CI STOLEN/RECOVERED 
Lk 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 
CM 
Zip 
PHONE NUMBER 
SUSPECT'S NAME / D.O.B. 
ADDRESS 
Street 
City 
Zip 
PHONE NUMBER 
ADDT'NL. SUSPECT / D.O.B. 
ADDRESS 
Street 
City 
Zip 
PHONE NUMBER 
SPECIAL INSTRUCTIONS 
 PROPERTY 
CLAIM
FOUND 
LI 
90 DAYS 
NOT CLAIM 0 
ITEM I 
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 co 
f this receipt. 
I hereby acknowledge that the above 
by me in the official performance 
list 
of my 
represents all property impounded 
duty as a police officer. 
SIGNATURE 
DATE 
SIGNATURE 
ID# 
UNIT 
RECEIVED BY 
REASON 
DATE/TIME RECEIVED 
CONTRIBUTOR'S COPY 
EFTA00038939

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