EFTA00187739 PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT CONTRIBUTOR'S COPY

PIPD Form #42
PROPERTY			FOUND	DECEASED (Probated)	PERSONAL	CONFISCATED	DESTROY
EVIDENCE			TRIAL	LABORATORY	STOLEN/RECOVERED	OTHER
			DATE/TIME RECOVERED 12:28:05 10:00		PROPERTY NUMBER (Leave Blank) 05 1345		BIN NUMBER (Leave Blank) 124533
ADDRESS WHERE PROPERTY IMPOUNDED COUNTY LAND NUMBER 5L
DISCOVERED BY/D.O.B.			ADDRESS Street City Zip		PHONE NUMBER
OWNER'S NAME/D.O.B.			ADDRESS Street City Zip		PHONE NUMBER
SUSPECT's NAME/D.O.B.			ADDRESS Street City Zip		PHONE NUMBER
ADDTN_SUSPECT/D.O.B.			ADDRESS Street City Zip		PHONE NUMBER
SPECIAL INSTRUCTIONS
ITEM #	QUANTITY	VALUE	DESCRIPTION
1			CINGULA FU HINT CONTAINS
2			SUBSPAN INFORMATION
3			CINGULA WIRELESS CD FILE CODE
4			153497 DATED 12:20:05
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