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">N2F0</td><td>2019-010614</td><td>3</td><td>8/13/19 16:00</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">Overnight SHU signature sheet</td></tr><tr><td>$\textcircled{2}$</td><td colspan="4">SHU visure search log</td></tr><tr><td>$\textcircled{3}$</td><td colspan="4">Attorney log book</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">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>-3</td><td>8/13/19 8:47</td><td rowspan="4" colspan="2"></td><td>OUTDOOR PROPERTY</td></tr><tr><td>-3</td><td>8/13/19 9:00</td><td>OPEN FOR REVIEW</td></tr><tr><td>-3</td><td>8/19/17 9:23</td><td>REVIEW</td></tr><tr><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)

EFTA00123393