ER (Leave Blank) 7-, c.--, ..-7 ? (,----, , k — BIN NUMBER ;Leave Blank) /2A- "cc _....1 ADDRESS WHERE PROPERTY IMPOUNDED i . DISCOVERED BY/ D.O. B. i n G 0 -:,.- c ADD13ESS Street City Zp PHONE NUMBER OWNER'S NAME. D.0 B. ADDRESS Street City Ze PHCNE NUMBER SUSPECTS NAME:DOB , , 1