the above list represents all property Impounded by me in the official performance of my duty as a police officer. SIGNATURE DATE SIGNATURE OF IL N-k- RECEIVED BY REASON ; DATE/TIME RECEIVED /41) C. 7)S - 7- • L.,1 / ',..) i • i r o 7c 6 ..-._. / EFTA00188047 OLM BEACH POLICE DEPARTMEO