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Date:________________________
IMPOUNDING RECEIPT
Description of the MV:
Make/Type : _______________________________________________
Color : _______________________________________________
Address : _______________________________________________
VIOLATIONS:
1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________
Subject MV was apprehended by Anti-Carnapping Operatives of this office for violation/s as stated above
on_________________ at about______ along the vicinity of _______________________and same was brought to
HQS TMG, Camp Crame, Quezon City, for safekeeping subject for the investigation/verification and proper
disposition.
Note: Subject MV shall only be released upon presentation of its pertinent original documents and upon
notation/approval of the ADI.
APREHENDING OFFICERS:
_____________________
Owner/Driver/Possessor