EFTA00131986



FD-1004
Rev. 7-7-2016


FEDERAL BUREAU OF INVESTIGATION
EVIDENCE CHAIN OF CUSTODY

| Evidence Type: | General | Drugs | Firearms/Weston | Item # |
| :--- | :--- | :--- | :--- | :--- |
| Digital | Valuables | Firearms/Other | | |

**Special Handling Instructions**

| | Initial Receipt | Date and Time |
| :--- | :--- | :--- |
| □ HAZMAT | Latents | Signature of Seizing Indent |
| □ Req. Charging | Freeze | Printed Name/Agency: |
| □ Biohazard | Refrigerate | Reason: Initial Collection |
| □ Other | | Collected By: Agency: FBI |

**Relinquished Custody**

| Date and Time | Accepted |
| :--- | :--- |
| Signature: | 8/12/19 |
| Printed Name/Agency: | 10:00AM |
| Reason: TO CAPT | Reason: CAPT |
| Relinquished Custody | Date and Time | Accepted Custody |
| Signature: | 8/15/19 |
| Printed Name/Agency: | 10:20AM |
| Reason: TO CA | Reason: RECEIVED |
| Relinquished Custody | Date and Time | Accepted Custody |
| Signature: | 8/15/19 |
| Printed Name/Agency: | 7:00AM |
| Reason: TRANSFER | Reason: ACCEPTED |
| Relinquished Custody | Date and Time | Accepted Custody |
| Signature: | 9/15/19 |
| Printed Name/Agency: | 3:00PM |
| Reason: Transfer to OTD | Reason: RECEIVED |
| Relinquished Custody | Date and Time | Accepted Custody |
| Signature: | |
| Printed Name/Agency: | |
| Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody |
| Signature: | |
| Printed Name/Agency: | |
| Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody |
| Signature: | |
| Printed Name/Agency: | |
| Reason: | |

**Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):**

Printed Name:

Signature:

Date:

Case ID: 90A-NY-3151227

Barcode: 66516193

This form is incomplete without reference to the FD-1087.

EFTA00131987

EVIDENCE CHAIN OF CUSTODY

<table><thead><tr><th>Relinquished Custody</th><th>Date and Time</th><th>Accepted Custody</th><th>Date and Time</th></tr></thead><tbody><tr><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td>5/12/20<br>11:50</td><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td>5/13/20<br>11:50</td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td></tr><tr><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td>5/13/20<br>11:50</td><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td></tr><tr><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td>

Case ID: 90A·MY-3751227 1B: 2 Barcode: E6S76195

This form is incomplete without reference to the FD-1087.