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f� - co <br /> LOCKER # it ! - -_ 1\\ <br /> LANE COUNTY ADULT CORRECTIONAL FACILITY <br /> The following is a list of items not allowed inside Lane County Adult Correctional Facility. The list is not all - <br /> inclusive and some items may be at the discretion of the Booking Deputy. <br /> Weapons (including knives), fireworks, matches, lighters, scissors, food items, razors. Additionally, anything too <br /> large to fit into one property bag will not be accepted. <br /> I certify that 1 have inventoried and placed into bag # the personal property belonging to: <br /> K / P - A2-W . 08-6g <br /> NAME /DOB /AIRS# <br /> I further certify that I have not included arly of the items listed above. <br /> V A &QA) /o_5 J Pb 46-0/ /5'47 <br /> ARRESTIN OFFICER SIGNATURE AND BADGE #/ AGENCY/ DATE/ TIME <br /> BELT /BUCKLE CITE # <br /> CELL -PHONE 1sJO141 Pt - CITE # <br /> CHECKBOOK CITE # <br /> CIGARETTES MISC. fflf L L. dcK F'2 IvK <br /> GLASSES AM -P AMe 5&/J LAWS - 6 4 - lam PARK e tc- i <br /> JEWELRY <br /> KEYS <br /> ODL/ID 3 55 � ? <br /> PURSE <br /> TOILETRIES <br /> WALLET P OVA 1 i (— Fbt-D 1 00 <br /> WATCH PAPER MONEY A,� <br /> THE ABOVE PROPERTY IS BEING HELD FOR ME BY THE LANE COUNTY ADULT CORRECTIONAL <br /> FACILITY UNTIL MY RELEASE. I UNDERSTAND THAT ANY PROPERTY LEFT OVER 60 DAYS PAST <br /> MY RELEASE, OR TRANSFER, WILL BE DISPOSED OF BY THE LANE COUNTY ADULT <br /> CORRECTIONAL F LITY. <br /> C �f ✓ <br /> (�D INMATE TURF/ DATE <br /> REFUSED /UNABLE <br /> PROPERTY BEING RELEASED/ DATE/ TIME <br /> C78 -43 White - Arresting Agency Goldenrod - Records Pink - Inmate <br />