BP-A0383 AUG 11 U.S. DEPARTMENT OF JUSTICE Laundry Jacket Laundry Detergent Disp. | © Miscellancous (1.ist any damaged . property and from where it was received: —_ £6. U.S. Marshal) ee Plastic Bowl Plastic S| A = H. tems Alleged by Inmate igftare Value Over $100.00 Description of Propgfy ¥ Jomare No individual Hem ever $100.00 © Artictets) listed as “Mail” IM) Are to be torw. RR EF ES 10, Claim Release: a, The weetring officer. ax soon after receipt of the property as possible. w ill review the inventory with the inmate to verily i's accuracy. Property that is stored, kept in possession 4 to (Na INMATE PERSONAL PROPERTY RECORD coFrrm FEDERAL BUREAU OF PRISON FoF and Address of Consigare): of the iunate. mailed out of the institution, or donated is to be marked in the appropriate section of this inventory ferns, The receiving officer certifies receipt. review and éispasition of the property tesinon WAC Cus T= RYE IE TG <2 ZF, 4 Perpose of liventary (Cheek one that applies): Date aad Time of Action ee { © Dispositios (Disp) D-Donated M-Mait $-Storuge Aden ie yan b __ Hospital « DO we 4 Transfer ¢ __ Detention K-Kuvep la Possession - t _ Rekease € __ Incoming Packaye thes (specify } C-Comrahand (Atiach BP-S102) 7 Type of Property: & Personally Owned bens Hygiene. eve 4. Food « Aruele Disp. Article Article Ll Article Disp Phastic spoon. cup Aspirin Bean . Adéress Book —_— _ _ “ie _ Playing Cards Body Seap Cake —— Bmale — | = Parse Cotton Swabs Candy _ ___ Radio (4 /eanplug) Chips -_ Religious Medal Dental Floss Coffeemane . a 7 ShirwBlouse Dentures Power Cold drink mix, soda ___ Rooks, Ketigious Shoes —— Covgh Drops ~ hard Sot Shoes. sheaee Fish Pucks ° for - — Shoes. Slippers From — ~~ Heassiere 7 Shorts jones. Hi-proter — cop. Hat Skin Instant Coffee/Instant Chocolate —_ Com — Slip Mayonnaise __ Com Secks __ Oatmeal —_ — Combination Lock Socks. Athlete Pepperoni ‘S Dress Stamps Eyeglass Care —— Moctings — __ Eyeglasses ‘ —— Sunglasses _ = cloves ' Sweat pants — Hairbeush/Pich F rsh - ~~ HNandherebiel —_ —— Suest Shice — Headphones by signing Below. The iamate by signing below certifies the accuracy of the Mvemory, excep ar noted on the form, relinquishing of all claim te articles listed as dunuted. receipt of all allowable items, and receipt of 3 copy of the inventory. When the inmate claims 2 discrepancy im the inventory, the receit ing officer shall attempt to resolv the discrepancy. Ifthe inmate states that there is missing of damaged property. this inturmation should he meted ender COMMENTS. COMMENTS: I hawe today reviewed the property returned te me 7 23Fs s cy 2G », Upon release of the inmate frum the unit. detention, ete. the releasing officer is to give the inmase that property stored as a result of the inmate's om The snmate certifies release of the property. except as moted om this form, and receipt of a copy of the inventinry by signing below W hem the inmate elaine a discrepancy in the inventury, the releasing officer shall attempt to resolve the discrepancy. If the inmate states that there is missing or damaged propery. this information should be noted under COMMENTS. COMMENTS: Printed Name/Sigeature of Receiving Officer: Printed Name/Signature af Receiving Officer: Date: Times uve today reviewed the property returned te me. re of Inmate Sig Original Central File; Copy : lamate, R&D. Speeist Housing Register # Prescribed by P5510 Replace of BP-S383 of AUG 94 EFTA00141778