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></td><td>8/13/19 16:00 pm</td></tr><tr><td colspan="2">PROPERTY SEIZED FROM</td><td colspan="3">LOCATION OF SEIZURE</td></tr><tr><td colspan="5"></td></tr><tr><td>ITEM</td><td colspan="4">DESCRIPTION OF THE PROPERTY SEIZED</td></tr><tr><td>$\textcircled{1}$</td><td colspan="4">OFFICIAL COUNT 5108 810119 @ 5.00AM</td></tr><tr><td>$\textcircled{2}$</td><td colspan="4">OFFICIAL COUNT 5108 810119 @ 3.00AM</td></tr><tr><td>$\textcircled{3}$</td><td colspan="4">OFFICIAL COUNT 5108 810119 @ 12.01 AM</td></tr><tr><td>$\textcircled{4}$</td><td colspan="4">OFFICIAL COUNT 5108 810119 @ 10.00 AM</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">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>1-4</td><td>8/13/19 16:38 AM</td><td colspan="2"></td><td>CUSTOMER 5:00 AM</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)

EFTA00123391