Jul 07 2010 4:58PM HP LASERJET Fax pel
DPD 0801-97 DUBUQUE POLE DEPARTMENT : = PROPERTY IN CUSTODY
aon tao ore
OV a2 fio 0-549 06/20/10
T-Farasn Fropety Was Token Fon oF Retalved From
“ » /910 St To prea
stan LAMA Tit nea te faefaT_—| stim (910 54. Tosco Lee
Te. Na Perven
Located in back yard of 1970 5% Joseok SA
Witch Obiained
Complains Filed?
é Selekosping Found mg otter
i Having en terest in she Propariy anda Rights Fle @ Cav [with oxcenv]
NAME boa: ‘ADDRESS PHONE
+. Ssteke_2@ Toure
€
here THAVE PLACED TH15 PROPERTY MUA PLACE OF SAFEKEEPI TRANGIATTAL TO THE DEPARTMENT PROPERTY
tar OFFICER, | HAVE GIVEN A COPY OF THis FORM TO [ASA RECEIPT.
athe? | avanti. DESCRIPTION OF ARTICLE. 1OCATION WHERE FOUNE.
”
A Duc. fanaily.” ddsttess Charcoal Lighher (32 roa)
& “Hyer * Charenal Starter celorless gutch staring
<. 4 | Sed | gallon gas
s t Nhlese jar atl maple tren [tear A
E | | Glass jar af cvorele dam len
1 \@lass yar wf sample tem Heon C
é pe eee
1. Bred baby dall toy
ia aw Te Ped | TE | 7 To Revenge
Goeeatt 27
NOTICE OF RECEIPT =
SF oomw. Order Ws, 2061 -008
MARK ALL ITEMS FOR FUTURE IDENTIFICATION CUSTODY CHAIN ON REVERSE SIDE