DOJ-OGR-00030874.pdf

PBPD Form #52 Palm Beach Police Department Property Receipt EVIDENCE CUSTODIAN 022669 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) 05368 033005 4:00 pm 05-294 8128137 ADDRESS WHERE PROPERTY IMPOUNDED 4200 Australian Ave. WPB FL (Highridge Family Center) DISCOVERED BY/D.O.B. ADDRESS City Zip PHONE NUMBER PAGAN 8059 OWNER'S NAME/D.O.B. ADDRESS Street City Zip PHONE NUMBER LF 5-13-90 Same As Above SUSPECT'S NAME/D.O.B. ADDRESS Street City Zip PHONE NUMBER un un ADDT'NL 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 Audio Tape "Maxell" Control Call #2 S-H 2 1 Micro Tape- 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 AB 8338 GS 03-31-05 0700 hrs WP 8055 Invest 08 02 05 1000 PBC #220 Before handcuff Rn. 8-16-05 1530 AB 8338 Wiped both 'for Set Fricke for filing 09-20-05 1445 hrs Mystery 8717 Copy on St Track 9-20-05 2:15PM Page 74 of 125 Public Records Request No.: 17-295 DOJ-OGR-00030874