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` SAFEKEEPING PROPERTY REPORT <br />�2 <br />PROPERTY LODGED AT JAIL LOCKERS <br />AGENCY: J EPD [ ] LCSO CASE NUMBER: <br />AIRS NUMBER: <br />PERSON BOOKED: qZetL <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 1 -'- GR-k Y 13ok6 k pijC k <br />3CAfk 1 R::z <br />14 <br />-Sd�T6 J G' #K4s A PI TL# PIPE / P40cKJ57_ kAlIrE <br />4 LAk 5 PIPK IA"10 d5b 1. rns:!`rAc <br />SIGNATURE OF INMATE: <br />SIGNATURE OF OFFICER <br /># DATE /TIME <br />THE ABOVE LISTED PROPERTY WAS PLACED INTO A LOCKER LOCATED ON THE OUTSIDE OFTHE 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 OUTTHE NEXT LINE AND SENDING THE FORM TO THEM <br />/AUTHORIZE (PRINT NAME): TO PICKUP 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 />SIGNATURE OF PERSON CLAIMING PROPERTY: <br />RELEASED BY: <br />LLt14 <br />WHITE COPY: AGENCY YELLOW COPY: LEAVE IN LOCKER PINK COPY: INMATE GOLD COPY: CORRECTIONS <br />SAFEKEEMO mm <br />