EFTA00029923

### EVIDENCE CHAIN OF CUSTODY

. . . . .

| Signature                                                                                                              |          |                                    |                |
|------------------------------------------------------------------------------------------------------------------------|----------|------------------------------------|----------------|
| Printed N                                                                                                              |          |                                    |                |
| Reason: 7                                                                                                              |          |                                    |                |
| Relinqui                                                                                                               |          |                                    |                |
| Signature                                                                                                              |          |                                    |                |
| Printed N                                                                                                              |          |                                    |                |
| Reason:                                                                                                                |          |                                    |                |
| Relinquis                                                                                                              |          |                                    |                |
| Signature                                                                                                              |          |                                    | ate and<br>ime |
| Printed N                                                                                                              |          |                                    | 5/21           |
| Reason:                                                                                                                |          |                                    |                |
| Relinquis                                                                                                              |          |                                    |                |
| Signature                                                                                                              |          |                                    | ate and<br>me  |
| Printed No                                                                                                             |          |                                    |                |
| Reason:                                                                                                                |          |                                    |                |
| Relinquis                                                                                                              |          |                                    | te and         |
| Signature:                                                                                                             |          |                                    |                |
| Printed Na                                                                                                             |          |                                    |                |
| Reason:                                                                                                                |          |                                    |                |
| Relinquis                                                                                                              |          |                                    |                |
|                                                                                                                        |          |                                    | e and          |
| Signature:<br>Printed Na                                                                                               |          |                                    |                |
| Reason:                                                                                                                |          |                                    |                |
| Relinquis                                                                                                              |          |                                    |                |
|                                                                                                                        |          |                                    | te and         |
| Signature:                                                                                                             |          |                                    |                |
| Printed Na                                                                                                             |          |                                    |                |
| Reason:                                                                                                                |          |                                    |                |
| Relinquish                                                                                                             |          |                                    | Date and       |
| Signature:                                                                                                             | Time     | Signature:                         | Time           |
| Printed Name/Agency:                                                                                                   |          | Printed Name/Agency:               |                |
| Reason:                                                                                                                |          | Reason:                            |                |
| Relinquished Custody                                                                                                   | Date and | Accepted Custody                   | Date and       |
| Signature:                                                                                                             | Time     | Signature:                         | Time           |
| Printed Name/Agency:                                                                                                   |          | Printed Name/Agency:               |                |
| Reason:                                                                                                                |          | Reason:                            |                |
| Relinquished Custody                                                                                                   | Date and | Accepted Custody                   | Date and       |
|                                                                                                                        | Time     |                                    | Time           |
|                                                                                                                        |          | Signature:                         |                |
|                                                                                                                        |          | Printed Name/Agency:               |                |
|                                                                                                                        |          |                                    |                |
|                                                                                                                        |          | Reason:                            |                |
|                                                                                                                        | Date and | Accepted Custody                   | Date and       |
|                                                                                                                        | Time     |                                    | Time           |
| Signature:<br>Printed Name/Agency:<br>Reason:<br>Relinquished Custody<br>Signature:<br>Printed Name/Agency:<br>Reason: |          | Signature:<br>Printed Name/Agency: |                |

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

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