EFTA00029908

Chain of Custody FD-192



SDNY_GNI_02753566

## EFTA00029909

| Relinqui                        |                  |                                 | Date and         |
|---------------------------------|------------------|---------------------------------|------------------|
| Signature                       |                  |                                 | Time             |
| Printed N                       |                  |                                 |                  |
| Reason:'                        |                  |                                 |                  |
| Relinqui                        |                  |                                 |                  |
|                                 |                  |                                 |                  |
| Signature                       |                  |                                 |                  |
| Printed N                       |                  |                                 |                  |
| Reason:                         |                  |                                 |                  |
| Relinqui                        |                  |                                 |                  |
| Signatur                        |                  |                                 | Time             |
| Printed N                       |                  |                                 |                  |
| Reason:                         |                  |                                 |                  |
| Relinquil                       | Time             | BRICHT BLEND 15-265118          | Date and<br>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:                         |                  |
| Relinquished Custody            | Date and<br>Time | Accepted Custody                | Date and<br>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:                         |                  |
| Relinquished Custody            | Date and<br>Time | Accepted Custody                | Date and<br>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:                         |                  |
| Relinquished Custody            | Date and<br>Time | Accepted Custody                | Date and<br>Time |
| Signature:                      |                  | Signature:                      |                  |
| Printed Name/Agency:<br>Reason: |                  | Printed Name/Agency:<br>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.

## EFTA00029910