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LOCKER # <br />- sy R% FF <br />75 <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 I have inventoried and placed into bag # <br />0 vow= <br />1 further certify at I have not includE <br />. J <br />ARRESTING OFF <br />r "; ( <br />NA E /DOB /AIRS# <br />any of th tems listed a,��%e. <br />ER SIGYATURE <br />the personal property belonging to: <br />?v 4( <br />7 <br />D BAD E #/ AGENCY/ DATE/ TIME <br />CITE # <br />MISC. <br />t � <br />PAPER MONEY <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 FACILITY. A <br />INMATE SIGNATURE/ DATE <br />REFUSED /UNABLE <br />PROPERTY BEING RELEASED/ DATE/ TIME <br />C78 -43 White - Arresting Agency Goldenrod - Records Pink - Inmate <br />