EFTA00029897

# EVIDENCE CHAIN OF CUSTODY

.

| Relinquished Custody         | LDate and<br>Time | Accepted C                            | Date and<br>Time |
|------------------------------|-------------------|---------------------------------------|------------------|
| Signature                    |                   | Signature:                            |                  |
| Printed N                    |                   | Printed Nar                           |                  |
| Reason: Transferred to NY    |                   | Reason: LEGIVE9 CBANS/CC              |                  |
| Relinquished Cut             | Date and          | Accepted Custody                      |                  |
|                              | Time              |                                       | Time             |
| Signature:                   |                   | Signature:                            |                  |
| Printed Name/Ag              |                   | Printed Na                            |                  |
| Reason:                      |                   | Reason:<br>vialn                      |                  |
| Relinquished Custody         | Date and          | Accepted Custody                      | Date and         |
| Signatu                      | Time              |                                       | Time             |
| Printed                      |                   | Signatur<br>Printed )                 |                  |
| Reason 5 Un 20 0.65 6006 ARO |                   | Reason:                               |                  |
| Relinquished Custody         | Date and          | Accepted Custody                      |                  |
|                              | Time              |                                       | Date and<br>Time |
| Signatu                      | 215               | Signature                             |                  |
| Printed                      |                   | Printed N                             | 21               |
| Reason:<br>Sorag             |                   | Reason:                               | 4.300            |
| Relinquished Custody         | Date and          | Accepted Custody                      | Date and         |
|                              | Time              |                                       | Time             |
| Signature                    |                   | Signature:                            |                  |
| Printed N                    |                   | Printed Nar                           |                  |
| Reason:                      |                   | Reason:                               |                  |
| Relinquished Custody         | Date and          | Accepted Custody                      | Date and         |
| Signature:                   | Time              |                                       | Time             |
| Printed Na                   |                   | Signature:                            |                  |
| Reason:                      |                   | Printed Nan                           |                  |
| Relinquished Custody         | Date and          | Reason:<br>nasule<br>Accepted Custody |                  |
|                              | Time              |                                       | Date and<br>Time |
| Signature:                   |                   | Signature:                            |                  |
| Printed Na                   |                   | Printed Na                            |                  |
| 'NW<br>Reason:               |                   | Reason:<br>Changes<br>OUL             | 3.40             |
| Relinquished Custody         | Date and          | Accepted Custody                      | Date and         |
|                              | Time              |                                       | Time             |
| Signature:                   |                   | Signature:                            |                  |
| Printed Name/Agency:         |                   | Printed Name/Agency:                  |                  |
| Reason:                      |                   | Reason:                               |                  |
| Relinquished Custody         | Date and<br>Time  | Accepted Custody                      | Date and         |
| Signature:                   |                   | Signature:                            | Time             |
| Printed Name/Agency:         |                   | Printed Name/Agency:                  |                  |
| Reason:                      |                   | Reason:                               |                  |
| Relinquished Custody         | Date and          | Accepted Custody                      | Date and         |
|                              | Time              |                                       | Time             |
| Signature:                   |                   | Signature:                            |                  |
| Printed Name/Agency:         |                   | Printed Name/Agency:                  |                  |
| Reason:                      |                   | Reason:                               |                  |
| Relinquished Custody         | Date and<br>Time  | Accepted Custody                      | Date and<br>Time |
| Signature:                   |                   | Signature:                            |                  |
| Printed Name/Agency:         |                   | Printed Name/Agency:                  |                  |
| Reason:                      |                   | Reason:                               |                  |

This form is incomplete without reference to the FD-1087.

SDNY_GM_02753555

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# EFTA00029898

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