EFTA00123413

CHAIN OF CUSTODY LOG CDFRM

BP-A0971

AUG 11

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

ECN # NYM-19-0162

(Enclose with/attach to evidence)

ITEM # NYM-19-00184

SUSPECT (If known) N/A___

# 0214207270

DESCRIPTION OF ITEM: ___

DATE/TIME ITEM FOUND: 08/11/19 11:00 A.M

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





( ) Return

( ) Destroy immediately





(✓) Other





( ) Lab Analysis

( ) FBI



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>08-11-19</td><td>OIG</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><tr><td></td><td></td><td></td><td></td></tr></table>

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EFTA00123414