PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT¶
CONTRIBUTOR’S COPY¶
| PBP0 Form *52 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| LII FOUND U PROPERTY | LI PERSONAL U DECEASED (Probated) | 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 | CLAIMLI | |||||||||
| 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 from me and that I have received a co | list | represents all property impounded | ||||||||
| f this receipt. by me in the official performance | of my | duty as a police officer. | ||||||||
| SIGNATURE | DATE | SIGNATURE | ID# | UNIT | ||||||
| RECEIVED BY | DATE/TIME RECEIVED | |||||||||
| REASON | ||||||||||