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I � <br /> SAFEKEEPING PROPERTY REPORT b <br /> 151 PROPERTY LODGED AT JAIL LOCKERS <br /> AGENCY: )4 EPD [ ] LCSO CASE NUMBER: / -- 43(3 <br /> IFORS:UBMITTIN.G AIRS NUMBER: <br /> PERSON BOOKED: C1?A ((s ,' a/ /IgaL -/99; <br /> LAST FIRST MIDDLE DOB <br /> PROPERTY SUBMITTED INTO LOCKER #: <br /> (Officer must itemize any valuable contents. Do not submit firearms, perishables, or hazardous items.) <br /> L.Gi C ' RAY c3A6k P'V c c� 86-kis 1if:Lz s rrcE /nem <br /> R �a7G 1 'y e ms , V/3 P -s /QG F C q , 4- e v t 8c E <br /> s/Io - r j � � /oK ES , e I TC PIPE / Poc KE i /< I FE <br /> a &455 A. w aR O J/ eel -Ma uE ) rrwrAc /4,4 5 (;'f -rnov DJ <br /> SIGNATURE OF INMATE: Gta coo? <br /> SIGNATURE OF OFFICER BADGE # DATE /TIME <br /> THE ABOVE LISTED PROPERTY WAS PLACED INTO A LOCKER LOCATED ON THE OUTSIDE OF THE CORRECTIONS FACILITY. <br /> THE KEY FOR THE LOCKER IS MAINTAINED BY CORRECTIONS STAFF. YOU MAY OBTAIN YOUR PROPERTY BY PRESENTING <br /> THIS RECEIPT TO CORRECTIONS STAFF BETWEEN THE HOURS OF 6:30 A.M. AND 7:00 A.M. FOLLOWING YOUR RELEASE. <br /> CONTACT CORRECTIONS STAFF AT THE STREET LEVEL LOBBY WINDOW INSIDE THE FRONT DOORS OF THE JAIL. <br /> YOUR PROPERTY MUST BE REMOVED WITHIN THIRTY (30) DAYS FROM THE DATE YOU WERE ARRESTED OR IT WILL <br /> BE DISPOSED OF. IF YOU ARE NOT ABLE TO RETRIEVE YOUR PROPERTY WITHIN THIRTY DAYS. YOU MAY AUTHORIZE <br /> SOMEONE ELSE BY FILLING OUT THE NEXT LINE AND SENDING THE FORM TO THEM. <br /> 1 AUTHORIZE (PRINT NAME): TO PICK UP MY PROPERTY BY PRESENTING THIS FORM <br /> TO CORRECTIONS STAFF BETWEEN 6 :30 AM AND 7 :00 AM. <br /> IF ADDITIONAL PROPERTY IS LODGED AT THE POLICE AGENCY, YOU WILL HAVE AN ADDITIONAL GOLD- COLORED RE- <br /> CEIPT ENCLOSED IN YOUR PERSONAL PROPERTY. YOU MUST CONTACT THAT AGENCY AND MAKE AN APPOINTMENT TO <br /> RECOVER THE PROPERTY LISTED. <br /> • <br /> SIGNATURE OF PERSON CLAIMING PROPERTY: DATE: <br /> RELEASED BY: <br /> WHITE COPY: AGENCY YELLOW COPY: LEAVE IN LOCKER PINK COPY: INMATE GOLD COPY: CORRECTIONS <br /> SAFEKEEFING aew <br />