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RECEIPT OF PROPERTY/EVIDENCE SEIZED

DATE PROPERTY WAS SEIZED CASE/IR NUMBER

ESTABLISHMENT SUBJECT (LAST, FIRST MIDDLE)

LOCATION WHERE PROPERTY WAS SEIZED TOTAL NUMBER OF ITEMS

Item Property/Evidence Description & Location Serial Number Qty Officer


1

Officer: Signature: Date/Time:

Witness: Signature: Date/Time:

Witness: Signature: Date/Time:

Received by: Signature: Date/Time:


Items/Purpose:

Released by: Signature: Date/Time:


Received by: Signature: Date/Time:
Items/Purpose:

Released by: Signature: Date/Time:


Received by: Signature: Date/Time:
Items/Purpose:

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