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C'ft .5 (" <br />LOCKER # Y, -- <br />S yER,F F <br />LANE COUNTY ADULT CORRECTIONAL FACILITY z <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 I have inventoried and placed into bag # <br />the personal property belonging to: <br />FIN <br />V-x�_ A� / CEO <br />—' NAME /DOB /AIRS# <br />I further certify that I have not included of the items listed above. <br />t / <br />At*4\t3�__J I E �t <br />ARRESTINd OFFICER SIGNATU <br />D BADi <br />r <br />/2Q z 7.5'� 3 <br />#/ AGENCY/ DATE/ TIME <br />BELT /BUCKLE <br />CITE # <br />CELL -PHONE <br />CITE # <br />CHECKBOOK <br />6TE# <br />CIGARETTES <br />MISC. ea ALT -� i <br />GLASSES <br />7C 12-e t nrc .. <br />JEWELRY <br />co r EY `� <br />KEYS <br />ODL/ID_ <br />PURSE <br />TOILETRIES <br />WALLET <br />WATCH <br />PAPER MONEY <br />THE ABOVE PROPERTY I BEING HELD FOR ME BY THE LANE COUNTY ADULT CORRECTIONAL <br />FACILITY UNTIL MY RE ASE. I UNDERSTAND THAT ANY PROPERTY LEFT OVER 60 DAYS PAST <br />M EASE, OR TRA WILL BE DISPOSED OF BY THE LANE UNTY ADUL� <br />ATE SIGN DATE <br />'REFUSED /UNABLE <br />PROPERTY BEING RELEASED/ DA <br />C78 -43 White - Arresting Agency Goldenrod - Records Pink - Inmate <br />r <br />