019 ADDRESS PHONE NUMBER SPECIAL NSTRUCTONS FOUND PROPERTY CLAIM U 90 DAYS NOT CLAIM fa ITEM IS QUANTITY VALUE DESC PTION 1 9 1 ttit. t) Ct mu& kLikAwAtkioYI rewwei :: 1 vo vffoim 00 inw-7 t eVAIIIIMAty TOTAL PACKAGE WEIGHT I hereby acknowledge that the above let represents al property taken from me