RECEIPT FOR PERSONAL PROPERTY
PALM BEACH COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


2 JacketilI 1 25 (1 Egg Cell# Pouch# lg/g 

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Arrest Agency P0 Arrest Date 5125!? Arrest Time Bag Obefiilfi 
PrintIPrisoner? 3/ LL) E/df/C/g A. I 
Nii FIRST NAME Ml
Prise r?s I 5 NLE FEMALE CK OTHER
OF BIRTH SOCIAL SECURITY NUMBER 
\v1 \v I 
1? 3 5?5 10's 20?s 50's 103?s Other US. Bills Total U.S. Coins Total ChecklM.O.ATotaI
3 5? )9 I 9? ,K/zswo 
Total Amount of Money in Writing Total Amount of Money Numencal
OHL i?anJ/CJ fwenI?lf and 6/90 JolqugDESCRIPTION OF PERSONAL PROPERTY 9?1 OF I - BULK PROPERTY - BAG 2 OF
1/ xismk colt phone 1.
CD Mtg-1133: m/ 3 Keys clad-145-1%. um; 2-
fit/L, A Metal [3 bIlIt) icL? {unit/4 556153-
5 I I fLa/J 1? C, 4.
IE, - mutaIaI Wtq?Pa-? Int/20% SAIL 5-
lama card umam had?AI Imd x1 0 4/0415 6~
7. I 7.
PRISONER IS WEARING
(I- 14115.4: ?new
I. .- 3/491? 
m. ISM cm m1.? rage wd Blnel? 5km
By my signature. I acknowledge that the above property Is all the property, other than that held as evldence. In my
posseWa$e?iFn> arrest.

?Paccma?im?sm-O Clad/ex We 
SIGNATURE OF PRISONER PRINT NAME OF TAKING PROPERTY ID I: 
l? CHAIN TODY
I certify the above inventory is correct and I have received all items listed above.
(05 Name\ ?0 ID Number Agngy Dat
72052, 1q I7

2. 
3.
UJ Shower/Unlform Issuance. DIS Print Name and ID 
if Items retained by inmate Additional property/clothing placed into Property


(Lg By my signature, I acknowledge receipt of all my listed pro rty and money in the amount of:


LU 5 
OF WITNESS DATE

CANARYM PBSO GREEN - TRANSPORTING OFFICER PINK - ARRESTING WHITE- INMATE

P880 #0637 REV 01/06

I