G-10-10-14-9A1 - 10/14/2010RESOLUTION NO. R -10-10-14-9A1
WHEREAS, pursuant to Chapter 59 of the Code of Criminal Procedure, any law enforcement
agency that has the authority to receive forfeited property must file an asset forfeiture reporting form,
and
WHEREAS, the City Council wishes to approve the FY 2010 Chapter 59 Asset Forfeiture
Audit Reporting Form submitted by the Round Rock Fire Marshall's Office, Now Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS,
That the Mayor is hereby authorized and directed to execute on behalf of the City the FY 2010
Chapter 59 Asset Forfeiture Audit Report By Law Enforcement Agency, being attached hereto as
Exhibit "A" and incorporated herein for all purposes.
The City Council hereby finds and declares that written notice of the date, hour, place and
subject of the meeting at which this Resolution was adopted was posted and that such meeting was
open to the public as required by law at all times during which this Resolution and the subject matter
hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended.
RESOLVED this 14th day of October, 2010.
ALAN MCGRAW, Mayor
City of Round Rock, Texas
ATTEST:
SARA L. WHITE, City Secretary
O:\wdox\SCClnts\0112\ 1005\MUNICIPAL\00204543.DOClrmc
ATTORNEY GENERAL OF TEXAS
GREG ABBOTT
July 30, 2010
Marshal Billy Wusterhausen
Round Rock Fire Marshal
203 Commerce
Round Rock, TX 78664
RE: FY 2010 Chapter 59 Asset Forfeiture Audit Reporting Form
Dear Marshal Wusterhausen:
Enclosed is an asset forfeiture reporting form that must be filed with the Office of the Attorney General by
any law enforcement agency that has the authority to receive property forfeited under Chapter 59 of the Code
of Criminal Procedure. The statutory definition of law enforcement agency includes any agency that has the
authority to hire peace officers or receive property. This report must be filed no later than the 60th day after
the end of your local fiscal year. The law setting out these requirements may be found in Article 59.06(g)
of the code. Please be aware that failure to file the required report in a timely manner may result in an audit
by the state comptroller and that the costs of such an audit may be assessed against the agency failing to
report.
If you should have any questions, please feel free to contact me or a member of my staff at the phone number
or e-mail address found on the last page of the reporting form. Thank you for your cooperation.
Sincerely,
Kent Richardson
Assistant Attorney General
Criminal Prosecutions Division
Office of the Attorney General
P.O. Box 12548
Austin, TX 78711-2548
(512)936-1348, (512)494-8283 FAX
kept. richardsonna,oag.state.tx.us
Renee Gray (512)305-8882
renee.gray(a),oag.state.tx.us
POST OFFICE Box 12548, AUSTIN, TEXAS 78711-2548 TEL: (512)463-2100 WEB: WWW.OAG.STATE.TX.US
An Equal Employment Opportunity Employer • Printed on Recycled Paper
Agency Name:
Agency Mailing
Address:
Phone Number:
County:
Email Address:
FY 2010
CHAPTER 59 ASSET FORFEITURE REPORT
BY LAW ENFORCEMENT AGENCY
.A' Reporting Period: t �� �l: Y oiR .5 (local fiscal year)
0103 C'irMrvlef.CL-: &IAD
R 9J- fJ ZOLif t ik
D L 14M3oiJ
example:
This should be a
pennanent agency
email address
NOTE: PLEASE ROUND ALL DOLLAR FIGURES TO NEAREST WHOLE DOLLAR.
1. SEIZED FUNDS
A) Beginning Balance
Instructions: Include total amount of seized funds on hand (in your agency's possession)
at beginning of reporting period. Include funds that may have been forfeited but have not
been transferred to your agency's forfeiture account. Do not include funds that are in an
account held by another agency, e.g., the District Attorney's account.
B) Seizures During Reporting Period:
Instructions: include only those seizures which occurred during the reporting period and
where the seizure affidavit required by Article 59.03 is sworn to by a peace officer employed
by your agency.
C)
D)
1) Amount seized and retained in your agency's custody
2) Amount seized and transferred to the District Attorney pending forfeiture $ --
1 /mi/m5 oVAI i o
01/01/10 to 12/31/10,
09/01/09 to 08/31/10 etc.
$ - --
Amount Returned to Defendants/Respondents (If seized funds are returned to
Defendants/Respondents please complete Schedule A for each case in which this applies
Make copies of the schedule and add additional sheets as necessary)
Ending Balance
Instructions: Add lines A and B(1), subtract line C, put total in line D.
lI. FORFEITED FUNDS
A) Beginning Balance
Instructions: Include total amount of forfeited funds that have been forfeited to your
agency and are on hand (in your agency's account or in your agency's possession) at
beginning of the reporting period including interest. Do not include funds that have been
forfeited but not yet received by your agency.
B) Amount Forfeited to and Received by Reporting Agency (Including Interest) During
Reporting Period
Instructions: Do not include amounts forfeited but not yet received by your agency;
interest refers to the amount earned prior to forfeiture and distributed as part of the
judgment of forfeiture.
Foran date 03/03/10
$
$
$
Page 1
C) Interest Earned on Forfeited Funds During Reporting Period
Instructions: Enter amount of interest earned on funds in your agency's forfeiture account
during the reporting period. Do not include interest earned if funds are on deposit in an
account that does not belong to your agency, e.g. the District Attorney's account.
D) Proceeds Received by Your Agency From Sale of Forfeited Property
Instructions: Include amounts received for all property sold during the reporting period,
even if the subject property was forfeited in a prior reporting period. If property is returned
to Defendants/Respondents please complete Schedule A for each case in which this applies.
Make copies of the schedule and add additional sheets as necessary.
-0-
E) Total Expenditures of Forfeited Funds During Reporting Period
Instructions: From Total on Section VI. $ .er
F) Ending Balance
Instructions: Add lines A through D, subtract line E, place total in line F. $ •=0 -
OTHER PROPERTY
Instructions: List the number of items seized for the following categories. Include only
those seizures where a seizure is made by a peace officer employed by your agency. If
property is sold, list under "Proceeds Received by Your Agency From Sale of Forfeited
Property" in Section I1 (D) in the reporting year in which the proceeds are received. If
property is returned to Defendants/Respondents please complete Schedule A for each case
in which this applies. Make copies of the schedule and add additional sheets as necessary.
Please note - this should be a number not a
currency amount. Example 4 cars seized, 3 cars
forfeited and 0 cars put into use.
SEIZED
FORFEITED TO
AGENCY
RETURNED TO
DEFENDANTS /
RESPONDENTS
PUT INTO USE
BY AGENCY
1) MOTOR VEHICLES (Include cars, motorcycles,
tractor trailers, etc.)
2) REAL PROPERTY (Count each parcel seized as
one item)
-'
3) COMPUTERS (Include computer and attached
system components, such as printers and monitors, as
item)
Iy
!"
1.9--
--41
4) FIREARMS (Include only firearms seized for
forfeiture under Chapter 59. Do not include weapons
disposed under Chapter 18.)
5) Other Property - Description:
Other Property -Description:
Other Property -Description:
Form date 03/03/10
Page 2
IV. FORFEITED PROPERTY RECEIVED FROM ANOTHER AGENCY
Instructions: Enter the total number of items transferred to your agency where the
forfeiture judgment awarded ownership of the property to another agency prior to the
transfer.
A) Motor Vehicles (the number of veh icles, not a currency amount)
B) Real Property (the number of separate parcels of property, not a currency
amount)
C) Computers (the number of computers, not a currency amount)
D) Firearms (the number of firearms, not a currency amount)
E) Other (the number of items, not a currency amount)
V. FORFEITED PROPERTY TRANSFERRED TO ANOTHER AGENCY
Instructions: Enter the total number of items transferred from your agency where the
forfeiture judgment awarded ownership of the property to your agency prior to the transfer.
A) Motor Vehicles (the number of vehicles, not a currency amount)
B) Real Property (the number of separate parcels of property, not a currency amount)
-0-
C) Computers (the number of computers, not a currency amount) £L .
D) Firearms ( the number of firearms, not a currency amount)
E) Other (the number of items, not a currency amount) •GL -
VI. EXPENDITURES
Instructions: This category is for Chapter 59 expenditures SOLELY for law
enforcement purposes - not for expenditures made pursuant to your general budget. List
the total amount expended for each of the following categories. If proceeds are expended
for a category not listed, state the amount and nature of the expenditure under the Other
category.
A) Total Salaries Paid out of Chapter 59 Funds $
1. Increase of Salary, Expense, or Allowance for Employees (Salary Supplements) $ —®
2. Salary Budgeted Solely From Forfeited Funds $
3. Number of employees Paid Using Forfeiture Funds
B) Total Overtime Paid out of Chapter 59 Funds $
1. For employees Budgeted by Governing Body $ '8
2. For Employees Budgeted Solely out of Forfeiture Funds $ -A-
3. Numberofemployees Paid Using Forfeiture Funds
C) Total Equipment Paid for with Chapter 59 Funds $
1. Vehicles
2. Computers
3. Firearms, Vests, Personal Equipment
Form date03/03/10
$ >9-
49-
Page
9-
Page 3
4. Furniture $ -CC).
5. Software $
Maintenance Costs $
7. Uniforms $
8. K9 Related Costs $ 19"
9. Other (Provide Detail on Additional Sheet) $ .e -
D) Total Supplies Paid Out of Chapter 59 Funds $ „0l
1. Office Supplies $
2. Cellular Air Time $
Internet $
4. Other(ProvideDetailonAdditionalSheet) $
Total Travel Paid Out of Chapter 59 Funds $
1. In State Travel
a) Hotel $
b)AirFare $
c) Meals(includingperdiem) $ 0
d)CarRental $ -
2. Out of State Travel
a) Hotel $
b)AirFare $
c) Meals (including per diem) $ -0-
d) Car Rental $
3. Fuel $
Parking $ .b
Other (Provide Detail on Additional Sheet) $
F) Total Training Paid Out of Chapter 59 Funds $ 43`-
1. Fees (Conferences, Seminars) $
2. Materials (Books, CDs, Videos, etc.) $ .�
3. Other(Provide Detail on Additional Sheet) $ .�
G) Total Investigative Costs Paid Out of Chapter 59 Funds $ -8
1. Informant Costs $ .09,-
2. Buy Money $
3. Lab Expenses $
4. Other(Provide Detail on Additional Sheet)
Form date 03/03/10
Page 4
H)
1)
Total Prevention/Treatment Programs/ Financial Assistance (pursuant to Articles 59.06 (h),
(l), (I), (n)) $
Total Facility Costs Paid Out of Chapter 59 Funds $
1. Building Purchase $ O
2. Lease Payments $ "0-
3. Remodeling $
4. Maintenance Costs $
5. Utilities $ D
6. Other(ProvideDetailonAdditionalSheet) $
K)
Total Miscellaneous Fees Paid OutofChapter 59 Funds $
Court Costs $
Filing Fees $
Insurance $
4. Witness Fees $ 19-
5. Audit Costs and Fees $
6. Other (Provide Detail on Additional Sheet) $
Total Other Paid Out of Chapter 59 Funds (provide detailed descriptions on additional $
sheet(s) and attach to this report)
L) TOTAL EXPENDITURES $ 0—
NOTE: BOTH CERTIFICATIONS NEED TO BE COMPLETED, unless your agency is not governed by a
Commissioner's Court or City Council. Then only the Agency Head Certification needs to be completed.
COUNTY JUDGE or MAYOR
(Printed Name):
SIGNATURE:
DATE:
CERTIFICATION
I swear or affirm that the Commissioners Court or City Council has conducted the audit required by Article 59.06 of the
Code of Criminal Procedure and that upon diligent inspection of all relevant documents and supporting materials, I
believe that this asset forfeiture report is true and correct and contains all of the required information.
SWORN TO AND SUBSCRIBED before me this day of 20
Notary Public in and for the State of Texas
Form date 03/03/10
Page 5
AGENCY HEAD (Printed Name):
SIGNATURE:
DATE:
CERTIFICATION
L.J1•/"MN t,.yu577—: X‘4Mw ,'1
g•
/7-/O
I swear or affirm, under penalty of perjury, that 1 have accounted for the seizure, forfeiture, receipt, and specific
expenditure of all proceeds and property subject to Chapter 59 of the Code of Criminal Procedure, and that upon diligent
inspection of all relevant documents and supporting materials, this asset forfeiture report is true and correct and contains
all information required by Article 59.06 of the Code of Criminal Procedure. I furt er- 4r
expenditures reported herein were lawful and proper, and made in accordance with Texa 10' *te DANNY MARKS
:
- Notary Public, State of Texas
ewe My Commission Expires
SWORN TO AND SUBSCRIBED before me this j %''`' day of Sr, p htrn 1 f , 20f ( q;,;;; August 30. 2014
r2.
Notary Publi n and for the State of Texas
RETURN COMPLETED FORM TO: Office of the Attorney General
Criminal Prosecutions Division
P.O. Box 12548
Austin, TX 78711-2548
Attn: Kent Richardson
(512)936-1348
FAX (512)494-8283
E-mail: kent.richardson:thoag.state.tx.us
Foran date 03/03/10
Page 6
ROUND ROCK, TEXAS
PURPOSE. PASSION. PROSPERITY.
Agenda Item No. *9A1.
City Council Agenda Summary Sheet
Agenda Caption:
Meeting Date:
Consider a resolution authorizing the Mayor to execute the "FY 2010 Chapter 59 Asset
Forfeiture by Law Enforcement Agency" required by the Attorney General of Texas.
October 14, 2010
Department: Fire
Staff Person making presentation: Billy Wusterhausen
Fire Marshal
Item Summary:
The Asset Forfeiture Reporting form is must be files no later than 60 days after the end of City's fiscal year as stated
in "FY 2010 Chapter 59 Asset Forfeiture Report By Law Enforcement Agency". This department seized no funds or
assets during FY 2010.
Strategic Plan Relevance:
Cost: N/A
Source of Funds: N/A
Date of Public Hearing (if required): N/A
Recommended Action: Approval
EXECUTED
DOCUMENT
FOLLOWS
ATTORNEY GENERAL OF TEXAS
GREG ABBOTT
July 30, 2010
Marshal Billy Wusterhausen
Round Rock Fire Marshal
203 Commerce
Round Rock, TX 78664
RE: FY 2010 Chapter 59 Asset Forfeiture Audit Reporting Form
Dear Marshal Wusterhausen:
Enclosed is an asset forfeiture reporting form that must be filed with the Office of the Attorney General by
any law enforcement agency that has the authority to receive property forfeited under Chapter 59 of the Code
of Criminal Procedure. The statutory definition of law enforcement agency includes any agency that has the
authority to hire peace officers or receive property. This report must be filed no later than the 60th day after
the end of your local fiscal year. The law setting out these requirements may be found in Article 59.06(g)
of the code. Please be aware that failure to file the required report in a timely manner may result in an audit
by the state comptroller and that the costs of such an audit may be assessed against the agency failing to
report.
If you should have any questions, please feel free to contact me or a member of my staff at the phone number
or e-mail address found on the last page of the reporting form. Thank you for your cooperation.
Sincerely,
Kent Richardson
Assistant Attorney General
Criminal Prosecutions Division
Office of the Attorney General
P.O. Box 12548
Austin, TX 78711-2548
(512)936-1348, (512)494-8283 FAX
kept.richard son (noag.state.tx.us
Renee Gray (512)305-8882
re n ee. grayer oa g. state. tx. u s
Z-to-io- 14--c)P1-1
POST OFFICE Box 12548, AUSTIN, TEXAS 78711-2548 TEL: (512)463-2100 WEB: WWW.OAG.STATE.TX.US
An Equal Employment Opportunity Employer • Printed on Recycled Paper
Agency Name:
Agency Mailing
Address:
FY 2010
CHAPTER 59 ASSET FORFEITURE REPORT
BY LAW ENFORCEMENT AGENCY
^'Reporting Period:
i �v e,„:V "(6125-1.16q_. 5 (local fiscal year)
ei cF
example:
c2o. (lDnAYvtEe = eL140
NO Zocrt ik 71 -60 -
Phone
Phone Number: 5'5 So
County: !_ L Lt SMS D!-)
Email Address: This should be a
permanent agency
email address
NOTE: PLEASE ROUND ALL DOLLAR FIGURES TO NEAREST WHOLE DOLLAR.
I. SEIZED FUNDS
makM a9410io
01/01/10 to 12/31/10,
09/01/09 to 08/3 1/10 etc.
A) Beginning Balance
Instructions: Include total amount of seized funds on hand (in your agency's possession)
at beginning of reporting period. Include funds that may have been forfeited but have not
been transferred to your agency's forfeiture account. Do not include funds that are in an
account held by another agency, e.g., the District Attorney's account. $ --
B) Seizures During Reporting Period:
Instructions: Include only those seizures which occurred during the reporting period and
where the seizure affidavit required by Article 59.03 is sworn to by a peace officer employed
by your agency.
1) Amount seized and retained in your agency's custody $ 9,,
2) Amount seized and transferred to the District Attorney pending forfeiture
C) Amount Returned to Defendants/Respondents (If seized funds are returned to
Defendants/Respondents please complete Schedule A for each case in which this applies
Make copies of the schedule and add additional sheets as necessary)
$ -6-
$ -Q.
D) Ending Balance
Instructions: Add lines A and B(1), subtract line C, put total in line D. $ .�
II. FORFEITED FUNDS
A) Beginning Balance
Instructions: Include total amount of forfeited funds that have been forfeited to your
agency and are on hand (in your agency's account or in your agency's possession) at
beginning of the reporting period including interest. Do not include funds that have been
forfeited but not yet received by your agency.
B) Amount Forfeited to and Received by Reporting Agency (Including Interest) During
Reporting Period
Instructions: Do not include amounts forfeited but not yet received by your agency;
interest refers to the amount earned prior to forfeiture and distributed as part of the
judgment of forfeiture.
Form date 03/03/10
-61
$
Page 1
C) Interest Earned on Forfeited Funds During Reporting Period
Instructions: Enter amount of interest earned on funds in your agency's forfeiture account
during the reporting period. Do not include interest earned if funds are on deposit in an
account that does not belong to your agency, e.g. the District Attorney's account.
D) Proceeds Received by Your Agency From Sale of Forfeited Property
Instructions: Include amounts received for all property sold during the reporting period,
even if the subject property was forfeited in a prior reporting period. If property is returned
to Defendants/Respondents please complete Schedule A for each case in which this applies.
Make copies of the schedule and add additional sheets as necessary.
E) Total Expenditures of Forfeited Funds During Reporting Period
Instructions: From Total on Section VI. $ 'er
F) Ending Balance
Instructions: Add lines A through D, subtract line E, place total in line F
Ill. OTHER PROPERTY
Instructions: List the number of items seized for the following categories. Include only
those seizures where a seizure is made by a peace officer employed by your agency. If
property is sold, list under "Proceeds Received by Your Agency From Sale of Forfeited
Property" in Section Il (D) in the reporting year in which the proceeds are received. If
property is returned to Defendants/Respondents please complete Schedule A for each case
in which this applies. Make copies of the schedule and add additional sheets as necessary.
Please note - this should be a number not a
currency amount. Example 4 cars seized, 3 cars
forfeited and 0 cars put into use.
SEIZED
FORFEITED TO
AGENCY
RETURNED TO
DEFENDANTS /
RESPONDENTS
PUT INTO USE
BY AGENCY
1) MOTOR VEHICLES (Include cars, motorcycles,
tractor trailers, etc.)
e-
Jd--
!�
t�
2) REAL PROPERTY (Count each parcel seized as/1
one item)
3) COMPUTERS (Include computer and attached
system components, such as printers and monitors, as
one item)
(�j'
r
__
4) FIREARMS (Include only firearms seized for
forfeiture under Chapter 59. Do not include weapons
disposed under Chapter 18.)
5) Other Property - Description:
Other Property -Description:
Other Property -Description:
Page 2
Form date 03/03/10
IV. FORFEITED PROPERTY RECEIVED FROM ANOTHER AGENCY
Instructions: Enter the total number of items transferred to your agency where the
forfeiture judgment awarded ownership of the property to another agency prior to the
transfer.
A) Motor Vehicles (the number of veh i cles, not a currency amount)
B) Real Property (the number of separate parcels of property, not a currency
amount)
C) Computers (the number of computers, not a currency amount)
D) Firearms (the number of firearms, not a currency amount)
E) Other (the number of items, not a currency amount)
V. FORFEITED PROPERTY TRANSFERRED TO ANOTHER AGENCY
Instructions: Enter the total number of items transferred from your agency where the
forfeiture judgment awarded ownership of the property to your agency prior to the transfer.
A) Motor Vehicles (the number of vehicles, not a currency amount)
B) Real Property (the number of separate parcels of property, not a currency amount)
C) Computers (the number of computers, not a currency amount)
D) Firearms ( the number of firearms, not a currency amount)
E) Other (the number of items, not a currency amount)
VI. EXPENDITURES
Instructions: This category is for Chapter 59 expenditures SOLELY for law
enforcement purposes - not for expenditures made pursuant to your general budget. List
the total amount expended for each of the following categories. If proceeds are expended
for a category not listed, state the amount and nature of the expenditure under the Other
category.
-8-
A) Total Salaries Paid out of Chapter 59 Funds $ O
I. Increase of Salary, Expense, or Allowance for Employees (Salary Supplements) $
2. Salary Budgeted Solely From Forfeited Funds $ —G-
3. Number of employees Paid Using Forfeiture Funds
B) Total Overtime Paid out of Chapter 59 Funds $ O
1. For employees Budgeted by Governing Body $
2. For Employees Budgeted Solely out of Forfeiture Funds
3. Numberofemployees Paid Using Forfeiture Funds
C) Total Equipment Paid for with Chapter 59 Funds
1. Vehicles
2. Computers
3. Firearms, Vests, Personal Equipment
Form date 03/03/10
0
Page 3
4. Fumiture
5. Software
6. Maintenance Costs
7. Uniforms
$
--G
8. K9 Related Costs $
9. Other (Provide Detail on Additional Sheet) $
D) Total Supplies Paid Out of Chapter 59 Funds $ �}
1. Office Supplies
2. Cellular Air Time
3. Internet $
4. Other (Provide Detail on Additional Sheet) $ —G—
E) Total Travel Paid Out of Chapter 59 Funds $
1. In State Travel
a) Hotel $
b)AirFare $
c) Meals (including per diem) $ o
d) Car Rental $ 49-
2. Out of State Travel
a) Hotel $
b) Air Fare $ 0-
c) Meals (including per diem) $ L.
Car Rental
3. Fuel $ 0
4. Parking $ 0
5. Other (Provide Detail on Additional Sheet) $
F) Total Training Paid Out of Chapter 59 Funds $
1. Fees (Conferences, Seminars)
2. Materials (Books, CDs, Videos, etc.) $ $
3. Other(Provide Detail on Additional Sheet) $
G) Total Investigative Costs Paid Out of Chapter 59 Funds $
1. Informant Costs ter$
Form date 03/03/10
2. Buy Money $ 19-
3. Lab Expenses
4. Other(Provide Detail on Additional Sheet) $
Page 4
H) Total Prevention / Treatment Programs/ Financial Assistance (pursuant to Articles 59.06 (h),
(I), (f), (It)) $
I) Total Facility Costs Paid Out of Chapter 59 Funds $
I. Building Purchase
2. Lease Payments
3. Remodeling $ n
4. Maintenance Costs $ n
5. Utilities 0
6. Other (Provide Detail on Additional Sheet) $
J) Total Miscellaneous Fees Paid Out ofChapter 59 Funds $
Court Costs
2. Filing Fees $
3 Insurance $
4. Witness Fees $
5. Audit Costs and Fees
6. Other (Provide Detail on Additional Sheet) $ v
K) Total Other Paid Out of Chapter 59 Funds (provide detailed descriptions on additional $
sheet(s) and attach to this report)
L) TOTAL EXPENDITURES
NOTE: BOTH CERTIFICATIONS NEED TO BE COMPLETED, unless your agency is not governed by a
Commissioner's Court or City Council. Then only the Agency Head Certification needs to be completed.
COUNTY JUDGE or MAYOR
(Printed Name):
SIGNATURE:
DATE:
CERTIFICATION
davt W Grvuw I Mayor'
LO -
I swear or affirm that the Commissioners Court or City Council has conducted the audit required by Article 59.06 of the
Code of Criminal Procedure and that upon diligent inspection of all relevant documents and supporting materials, I
believe that this asset forfeiture report is true and correct and contains all of the required information.
SWORN TO AND SUBSCRIBED before me this 14day of 20 j 0
Form date 03/03/10
Notary Public in and for the State of Texas
Page 5
AGENCY HEAD (Printed Name):
SIGNATURE:
DATE:
CERTIFICATION
I,.JI L.L/ii-rn gkilfc)5-Griki
jaA
9- I7 -/t
I swear or affirm, under penalty of perjury, that I have accounted for the seizure, forfeiture, receipt, and specific
expenditure of all proceeds and property subject to Chapter 59 of the Code of Criminal Procedure, and that upon diligent
inspection of all relevant documents and supporting materials, this asset forfeiture report is true and correct and contains
all information required by Article 59.06 of the Code of Criminal Procedure. I furt
expenditures reported herein were lawful and proper, and made in accordance with Texa
SWORN TO AND SUBSCRIBED before me this i'rh day of S"L p}-evn 4T , 20
RETURN COMPLETED FORM TO:
Form date 03/03/10
Notary Publiin and for the State of Texas
Office of the Attorney General
Criminal Prosecutions Division
P.O. Box 12548
Austin, TX 78711-2548
Attn: Kent Richardson
(512)936-1348
FAX (512)494-8283
E-mail: kept.richardson!i oa,state.tx.us
DANNY MARKS
Notary Public. State of Texas
My Commission Expires
August 30, 2014
Page 6