DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Lomas Berk) ADDRESS WHERE PROPERTY IMPOUNDED ADDRESS SINN Cy Zp PHONE NUMBER Ilinglin OWNER'S NAME / 0.0.B. ADDRESS SUotH Cly Zip PHONE NUMBER SUSPECTS NAME / D.O.B. ADDRESS Sane! G.y Ztp PHONE NUMBER ADDYNL SUSPECT / 0 0.