DOJ-OGR-00030920.pdf

LM BEACH POLICE DEPARTME PROPERTY RECEIPT DETECTIVE BUREAU PBPD Form #52 PROPERTY FOUND DECEASED (Probated) PERSONAL CONFISCATED DESTROY EVIDENCE TRIAL LABORATORY STOLEN/RECOVERED OTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank) 05-386 128552 ADDRESS WHERE PROPERTY IMPOUNDED DISCOVERED BY / D.O.B. Pagan 2004 ADDRESS Street City Zip PHONE NUMBER OWNER'S NAME / D.O.B. ADDRESS Street City Zip PHONE NUMBER SUSPECT'S NAME / D.O.B. 2/12/62 Evansville, IN ADD'TNL. SUSPECT / D.O.B. ADDRESS Street City Zip PHONE NUMBER SPECIAL INSTRUCTIONS FOUND PROPERTY 90 DAYS CLAIM NOT CLAIM ITEM # QUANTITY VALUE DESCRIPTION 1 1 medical supplies 2 1 '727' letterhead 3 1 Injuries #029103 4 1 Amazon.com Adriana Mucinska 5 1 white paper - 'Toniuc' 6 1 message from Joanna Junior 7 1 ' ' Toniuc Junior 2 1 white paper - 681-2118 / 655-7626 9 1 ' ' - 917-783-4102 TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list represents all property taken from me and that I have received a copy of this receipt. I hereby acknowledge that the above list represents all property impounded by me in the official performance of my duty as a police officer. SIGNATURE DATE SIGNATURE ID# UNIT RECEIVED BY REASON DATE/TIME RECEIVED 158322 75 3259 D1 04-21-05 0700R 07/26/17 Page 120 of 125 Public Records Request No.: 17-295 DOJ-OGR-00030920