February 18, 2007

Louisiana State Penitentiary
Personal Property Storage Documentation
Date: 2/18/07
Time: 845/m
Inmate's Name: Patric Brasseaux
DOC# 329406
Transferred From CBD To CB Property Room
Number of Lockers Stored: #114332 + 114341
Tamper Proof Seal#: LSP

For Inmate's Signature:
I, the undersigned, hereby acknowledge that my personal property has been placed in my locker and that the locker has been sealed with a tamper proof seal.
Inmate's Signature: (signature)
Date:
Time:
Employee Witness: (signature of Sgt. F. Marshall) 2/18/07

Note: Nothing else was filled out on this document, including where the property was stored, who received it, when they received it, or anything else.