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">2010-010614</td><td>15</td><td>08/26/19</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">BOP MCC Control Center 30 Day Files 7/22/19</td></tr><tr><td>2)</td><td colspan="4">BOP MCC Control Center 30 Day Files 7/23-19 – 8/1/19</td></tr><tr><td>3)</td><td colspan="4">BOP MCC Control Center 30 Day Files 8/3/19 – 8/14/19</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="3"></td><td>DOJ OIG</td><td></td></tr><tr><td colspan="5">CHAIN OF CUSTODY</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>8/28/19</td><td rowspan="2"></td><td rowspan="2"></td><td>Inventory/Storage</td></tr><tr><td>1-3</td><td>8/29/19</td><td>2023</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><tr><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>





OIG FORM III – 234/1 (04/23/07)

EFTA00123387

BP-A0971

CHAIN OF CUSTODY LOG CDFRM

AUG 11

AUG 11

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

ECN #___

**ITEM #** ___

(Enclose with/attach to evidence)

CASE ID NUMBER:

DESCRIPTION OF ITEM: Control Center 30 day-file

DATE/TIME ITEM FOUND: ___

LOCATION:___

SIGNATURE OF PERSON RECOVERING EVIDENCE:___

PRINTED NAME:___

## EVIDENCE PLACED IN OVERNIGHT DROP BOX:

DROP-BOX BY:(printed name)___

Date & Time:___

Witness: (printed name)___

## EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY:

(printed name)___

Date & Time:___

Witness: (printed name)___

## EVIDENCE PLACED EVIDENCE SAFE BY:

(printed name)___

Date & Time: ___

Witness: (printed name)___

## DISPOSITION:

( ) Hold as evidence

( ) Return to owner



( ) Return to finder





( ) Lab Analysis

( ) FBI



( ) Other

( ) Destroy immediately

REMARKS (condition of evidence):





CHAIN OF CUSTODY

<table border="1"><tr><td>EVIDENCE RELEASED BY:</td><td>DATE/TIME:</td><td>DESTINATION:</td><td>EVIDENCE RELEASED TO:</td></tr><tr><td></td><td>8/26/19</td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr></table>

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EFTA00123388