PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT PBPO Form #52 CONTRIBUTOR'S COPY OQ rouno (Ld DECEASED (Probated) (2 persona ( conriscateo (1 bestroy QO Tria (J Laporatory () stoLen/mecoveReED Qlotner INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank) ADDRESS WHERE PROPERTY IMPOUNDED Sance Bae Be is | OWNER'S NAME/D.0B. “as oma oe tie SRE ee co EE ADDRESS Street z ADODT'NL. SUSPECT / D.0.B. ADORESS Street City PHONE NUMBER SPECIAL INSTRUCTIONS | hereby acknowledge that the above list represents all property impounded by me in the official performance of my duty as a police officer. EFTA00038939