EFTA00123436

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>08/20/19</td><td></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">Dailey Forms (Cos, LTs) 7/7/19 – 8/9/19</td></tr><tr><td>2.</td><td colspan="4">Control Center Paperwork 8/9/19 – 8/10/19</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></td><td></td></tr><tr><td colspan="5">CHAIN OF CUSTODY</td></tr><tr><td>ITEM</td><td>DATE/TIME</td><td>RELEASE BY</td><td>RECEIVED BY</td><td>PURPOSE</td></tr><tr><td>1-2</td><td>8/22/19</td><td rowspan="8"></td><td rowspan="8"></td><td>Evidence Inventory/Storage</td></tr><tr><td>1-2</td><td>8/22/19</td><td>WAR SPOND SPAY</td></tr><tr><td>1-2</td><td>8/22/19</td><td>ROVIA G</td></tr><tr><td>1-2</td><td>12/16/21 14:55</td><td>received by NYM 12/10/19</td></tr><tr><td>1-2</td><td>12/11/22 10:30 AM</td><td>New Evidence custodian</td></tr><tr><td>1-2</td><td>12-19-24 11:50AM</td><td>Return to Case agent</td></tr><tr><td>1-2</td><td>12-19-24</td><td>Final transfer to BOP</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)

EFTA00123437