| FD-597 (Rev. 4-13-2015)                                    |                                                                                                  |
|------------------------------------------------------------|--------------------------------------------------------------------------------------------------|
|                                                            | UNITED STATES DEPARTMENT OF JUSTICE<br>FEDERAL BUREAU OF INVESTIGATION<br>Receipt for Property   |
| Case ID:<br>18/19<br>On (date)<br>Marc                     | item (s) listed below were:<br>Collected/Seized<br>Received From<br>Returned To<br>Released To   |
| (Name)<br>(Street Address)                                 |                                                                                                  |
| (City)                                                     |                                                                                                  |
|                                                            |                                                                                                  |
| US Passfort<br>Red Case<br>Wallet<br>amer                  | Lumi - Nor Swiss make Series 3 050 3 950 watch<br>+ Boach<br>પડ<br>to techian<br>Carl<br>Customs |
| 1<br>Medilare<br>y ellow<br>Post it<br>Dent<br>ecol<br>Tom | United health Care<br>Meulth Card<br>Card<br>Scount                                              |

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