U.S. Department of Justice

EVIDENCE CUSTODY DOCUMENT

<table><thead><tr><th colspan="2">OFFICE</th><th>CASE #</th><th>LOG #</th><th>DATE AND TIME OF SEIZURE</th></tr></thead><tbody><tr><td colspan="2">NYFO</td><td>2019-010614</td><td>6</td><td>8/21/19</td></tr><tr><td colspan="3">PROPERTY SEIZED FROM</td><td colspan="2">LOCATION OF SEIZURE</td></tr><tr><td colspan="3">BOP MCC</td><td colspan="2">BOP MCC</td></tr><tr><td>ITEM</td><td colspan="4">DESCRIPTION OF THE PROPERTY SEIZED</td></tr><tr><td>1.</td><td colspan="4">Green Law Enforcement /BOP Staff log in Book</td></tr><tr><td>2.</td><td colspan="4">Green social visiting log boog</td></tr><tr><td colspan="3">NAME AND SIGNATURE OF WITNESS</td><td colspan="2">NAME AND SIGNATURE OF SEIZING SPECIAL AGENT</td></tr><tr><td colspan="5"></td></tr><tr><td colspan="5"><strong>CHAIN OF CUSTODY</strong></td></tr><tr><td>ITEM</td><td>DATE/TIME</td><td>RELEASED BY</td><td>RECEIVED BY</td><td>PURPOSE</td></tr><tr><td>1-2</td><td>8/21/19</td><td rowspan="4"></td><td rowspan="4"></td><td>Transport</td></tr><tr><td>1-2</td><td>8/21/19</td><td>Evidence Storage</td></tr><tr><td>1-2</td><td>8/22/19</td><td>Evidence Inventory/Storage</td></tr><tr><td>1-2</td><td>8/22/19</td><td>SD MS REVIEWS</td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>





OIG FORM III – 234/1 (04/23/07)

EFTA00123379

U.S. Department of Justice

EVIDENCE CUSTODY DOCUMENT

<table><thead><tr><th>OFFICE</th><th colspan="2">CASE #</th><th>LOG #</th><th>DATE AND TIME OF SEIZURE</th></tr></thead><tbody><tr><td>NYFO</td><td colspan="2">2019-010614</td><td>7</td><td>08/20/19</td></tr><tr><td colspan="3">PROPERTY SEIZED FROM</td><td colspan="2">LOCATION OF SEIZURE</td></tr><tr><td colspan="3">BOP MCC</td><td colspan="2">BOP MCC</td></tr><tr><td>ITEM</td><td colspan="4">DESCRIPTION OF THE PROPERTY SEIZED</td></tr><tr><td>1.</td><td colspan="4">Post Orders (LTs, SHU LT, SHU: #7,#2,#3, Rec. Officer: #1,#2, SHU#2)</td></tr><tr><td>2.</td><td colspan="4">Sign in Sheet for SHU #1, SHU #2, SHU #3, SHU #4, Rec. #1 Rec. #2</td></tr><tr><td>3.</td><td colspan="4">Quarterly SHU Training 6/6/19</td></tr><tr><td colspan="3">NAME AND SIGNATURE OF WITNESS</td><td colspan="2">NAME AND SIGNATURE OF SEIZING SPECIAL AGENT</td></tr><tr><td colspan="5"></td></tr><tr><td colspan="5"><strong>CHAIN OF CUSTODY</strong></td></tr><tr><td>ITEM</td><td>DATE/TIME</td><td>RELEASED BY</td><td>RECEIVED BY</td><td>PURPOSE</td></tr><tr><td>1-3</td><td>8/22/19</td><td rowspan="3" colspan="2"></td><td>Evidence Inventory/Storage</td></tr><tr><td>1-3</td><td>812219</td><td>Review</td></tr><tr><td>1-3</td><td>812219</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

OIG FORM III – 234/1 (04/23/07)