PALM BEACH POLICE DEPARTMENT
PROPERTY RECEIPT
CONTRIBUTOR'S COPY
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
FOUND PROPERTY CLAIM 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 I hereby acknowledge that the above list represents all property impounded
from me and that I have received a co f this receipt. by me in the official performance of my duty as a police officer.
SIGNATURE DATE SIGNATURE ID# UNIT
RECEIVED BY REASON DATE/TIME RECEIVED
EFTA00038939