EVIDENCE DISPOSITION DOCUMENT

NAME OF AUTHORIZING OFFICIAL		TITLE AND TELEPHONE NUMBER	DATE	CASE NUMBER
		AUSA	12-19-24	2019-010614
DISPOSITION ORDERED (check one)	DESCRIPTION OF ITEM
RETURN DESTROY OTHER (specify)	LOG #1 Item 1: Annual Refresher Training March 2019 Item 2: Annual Refresher Training April 2019
EVIDENCE RETURNED
NAME AND SIGNATURE OF SPECIAL AGENT RETURNING THE EVIDENCE

NAME OF PERSON RECEIVING EVIDENCE	DATE AND SIGNATURE OF RECIPIENT
		12/12/24
ADDRESS		TELEPHONE NUMBER
MDC Brooklyn 80 94th Street, Brooklyn
EVIDENCE DESTROYED
METHOD USED			DATE

NAME AND SIGNATURE OF PERSON WHO DESTROYED THE EVIDENCE			DATE

NAME AND SIGNATURE OF WITNESS			DATE

OIG FORM III - 234/4 (02/13/09) EFTA00123438 U.S. Department of Justice EVIDENCE DISPOSITION DOCUMENT

NAME OF AUTHORIZING OFFICIAL		TITLE AND TELEPHONE NUMBER	DATE	CASE NUMBER
		AUSA	12-19-24	2019-010614
DISPOSITION ORDERED (check one)	DESCRIPTION OF ITEM
✓ RETURN	LOG #2 Item 1: 8-10-19 Count Slips G 5:00 am
☐ DESTROY	Item 2: 8-10-19 Count Slips G 3:00 am
☐ OTHER (specify)	Item 3: 8-10-19 Count Slips G 12:00 am Item H: 8-10-19 Count Slips G 10:00 am
EVIDENCE RETURNED
NAME AND SIGNATURE OF SPECIAL AGENT RETURNING THE EVIDENCE

NAME OF PERSON RECEIVING EVIDENCE	DATE AND SIGNATURE OF RECIPIENT
	12/19/24
ADDRESS		TELEPHONE NUMBER
HDC Brooklyn 80 29th Shut, Brooklyn
EVIDENCE DESTROYED
METHOD USED			DATE

NAME AND SIGNATURE OF PERSON WHO DESTROYED THE EVIDENCE			DATE

NAME AND SIGNATURE OF WITNESS			DATE

OIG FORM III - 234/4 (02/13/09) EFTA00123439 U.S. Department of Justice EVIDENCE DISPOSITION DOCUMENT

NAME OF AUTHORIZING OFFICIAL		TITLE AND TELEPHONE NUMBER	DATE	CASE NUMBER
		AUSA	12-19-34	2019-010614
DISPOSITION ORDERED (check one)	DESCRIPTION OF ITEM
✓ RETURN ☐ DESTROY ☐ OTHER (specify)	LOG #3 Item 1: Weekly SHU Signature Book Item 2: SHU Visitor Search Log Item 3: Attorney Log Book
EVIDENCE RETURNED
NAME AND SIGNATURE OF SPECIAL AGENT RETURNING THE EVIDENCE

NAME OF PERSON RECEIVING EVIDENCE	DATE AND SIGNATURE OF RECIPIENT
		12/11/24
ADDRESS		TELEPHONE NUMBER
HDC Brooklyn 80 94th St., Brooklyn
EVIDENCE DESTROYED
METHOD USED			DATE

NAME AND SIGNATURE OF PERSON WHO DESTROYED THE EVIDENCE			DATE

NAME AND SIGNATURE OF WITNESS			DATE

OIG FORM III – 234/4 (02/13/09)