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EUGENE POLICE DEPARTMENT <br />- <br />a <br />16 7 330 <br />SEEREVE <br />EVIDENCE /PROPERTY <br />CHIEF Pat Inv * Supt Spec Pao <br />Capt Capt Capt. Capt <br />Page of <br />❑ Hold for Court ❑ Safekeep Only <br />Viol Prop Fin Spec Safer PCUi <br />PROPERTY WANT CHECK Case Nu r <br />-$= <br />Crimes: Crimes Crimes Irby Schools > -FEU ❑Fingerprint estroy <br />AIRS LEDS NCIC <br />❑ Test Return to Owner <br />2. Incident N r <br />Brief 2.. Camp RDU EDU Arson Fire <br />1 cident <br />0 7 <br />City Muni Circuit Juv I.A. Faro <br />RELATED REPORTS <br />�• Grid <br />-3 <br />5. Source <br />Pros Ccsurt Gourt Court Risk Prob : � * ��rJt7 �`�� 1 6Z ��` �,�����f�. <br />❑ Accident <br />SCF Vic CAC Med Com 4per 3. Incident Location <br />Sere Exm: Anys' Arty <br />8;Z0 of <br />11 Incident <br />Citation Storage Loc. <br />0055 <br />Pkgs . <br />Mental Trf . <br />SDS P osta l OLCC DMV <br />Health Er;g -. 6. Reported Date 7. Time 8. Impel Date 9. Time <br />Li Custod <br />Custod <br />❑ Prop /Evidence Eug Lab # <br />State tab # <br />? � �`� � Supplemental <br />Pat other # �� � � <br />. <br />. <br />10. Instructions for Processing (List Item #s). <br />11. Towed From <br />12. Recovered Stolen Vehicle <br />13. SAFEKEEPING TOW <br />14. Towed By 15. Towed To <br />❑ Custody ❑ Storage on Street/Abandon <br />17. Tow Operator's Signature <br />f <br />_ <br />❑ Accident ❑ Violation <br />.Other Agency <br />1 6. Cit # <br />❑ Hazard <br />. <br />18. VIN# <br />19. Value <br />20. Color (ToplBottom} <br />21. dometer <br />w I 22. <br />AIRS <br />LEDS <br />NCIC <br />REG <br />AIRS <br />LEDS <br />NCIC <br />REG <br />LIC # <br />State <br />Exp Yr <br />. Type <br />Veh Yr <br />Make <br />Model <br />Style <br />23. Notified Date/ Time <br />By Whom ID# <br />V <br />R/L <br />24. e., Fir ` Mi le ` <br />k <br />AIRS# <br />25.:DO13 <br />32. <br />.-O� <br />- C <br />d <br />- MA , f <br />tJ <br />❑ Keys in Vehicle 11 <br />Right Damage <br />26. Addreks.- ity <br />1 K #qAJ , Af 1 <br />State <br />Zip <br />1 29. <br />27` Phone <br />❑ Not Driveable <br />❑ Radio <br />❑ Left Damage <br />❑Front Damage <br />❑ Stereo Tape ❑ Rear Damage <br />V <br />RIL' <br />?8• Name First Middle <br />AIRS# <br />DOB <br />❑ CB Radio 11 <br />Stripped <br />5 <br />C <br />❑ Special Antenna ❑ Trunk Exam <br />30. Address City <br />State <br />Zip <br />31. Phone <br />❑ Custom Wheels ❑ Property Removed <br />IVq. <br />QTY; <br />31 ITEM <br />34. SER. NO. <br />A BRAND = <br />36, MODEL/SIZE/ COLOR <br />37, INSCR. <br />38. V4Mk { <br />/ %4LJ-L7-/ - em 0 <br />5-�Oc a/ <br />05 (A C., k <br />60&.0pe, <br />39, tmpo ding Officer 9 ID# 40. Date 41. Time 42. Submitted/Released By ID# 43. Date <br />45. Sub ed Other (Specify) 46. Released To (Signature) 47. pi <br />❑ Cen al Lock ❑ Cage ❑ Refrigerator /Freezer <br />White - Property Copy Canary - Records Copy Pink - Vehicle or Property Copy Goldenrod - Receipt Copy <br />44. Time <br />ID# <br />Q2 (f ;1b <br />EVIDENCE PROPERTY 0906 <br />