EFTA00167161

PALM BEACH POLICE DEPARTMENT
PROPERTY RECEIPT



PBPD Form #52


<table><thead><tr><th colspan="6">PROPERTY</th></tr><tr><th colspan="2"></th><th>FOUND</th><th>DECEASED (Probated)</th><th>PERSONAL</th><th>CONFISCATED</th><th>DESTROY</th></tr></thead><tbody><tr><td colspan="2">EVIDENCE</td><td>TRIAL</td><td>LABORATORY</td><td>STOLEN/ECOVERED</td><td>OTHER</td><td></td></tr><tr><td colspan="2">INCIDENT/CITATION NUMBER</td><td colspan="2">05-348<br>10-505 1000</td><td>PROPERTY NUMBER (Leave Blank)<br>05-941</td><td>BIN NUMBER (Leave Blank)<br>129542</td><td></td></tr><tr><td colspan="7">ADDRESS WHERE PROPERTY/IMPOUNDED<br>345 5 COUNTY ROAD DAWNBOACH</td></tr><tr><td colspan="3"></td><td>ADDRESS Street City Zp</td><td colspan="3">PHONE NUMBER</td></tr><tr><td colspan="3"></td><td>ADDRESS Street City Zp</td><td colspan="3">PHONE NUMBER</td></tr><tr><td colspan="3">SUSPECT&#x27;S NAME/D.O.B.<br>EASTERN JERSEY 249</td><td>ADDRESS Street City Zp</td><td colspan="3">PHONE NUMBER</td></tr><tr><td colspan="3">ADDTNL SUSPECT/D.O.B.</td><td>ADDRESS Street City Zp</td><td colspan="3">PHONE NUMBER</td></tr><tr><td colspan="7">SPECIAL INSTRUCTIONS</td></tr><tr><td>ITEM #</td><td>QUANTITY</td><td>VALUE</td><td colspan="4">DESCRIPTION</td></tr><tr><td>1</td><td></td><td></td><td colspan="4">MISC PAID ONLY (TRASH 10-505)</td></tr><tr><td></td><td></td><td></td><td colspan="4">

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