EFTA00132010 FD-1004 Rev. 7-7-2016 FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY | Evidence Type: □ General □ Drugs □ Firearms/Werpon □ Digital □ Valuables □ Firearms/Other | Item # ___ | | :--- | :--- | **Special Handling Instructions** | Initial Receipt | Date and Time | | :--- | :--- | | □ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___ | Signature of Seizing Printed Name/Agency Reason: Initial Collection Collected By: MA77 Hammero Agency: FB | **Relinquished Custody** | Date and Time | Accepted Custody | Date and Time | | :--- | :--- | :--- | | Signature: 8/10/19 10:00AM Reason: TO CAR | Signature: 8/10/19 10:00AM Reason: TO CAR | Signature: 8/15/19 10:20AM Reason: TO CAR | | Signature: 8/15/19 10:20AM Reason: TO CAR | Signature: 8/15/19 10:20AM Reason: TO CAR | Signature: 8/15/19 2:00AM Reason: TO CAR | | Signature: 8/15/19 2:00AM Reason: TO CAR | Signature: 8/15/19 2:0 Case ID: 90A-NY-3151227 Barcode: 66516203 This form is incomplete without reference to the FD-1087. EFTA00132011 EVIDENCE CHAIN OF CUSTODY
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:
Printed Name
Reason:		5/12/20
11:50		Signature:
Printed Name
Reason:		5/12/20
11:50
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:
Printed Name/Agency
Reason:		5/12/20
11:50		Signature:
Printed Name/Agency
Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:
Printed Name/Agency
Reason:		Date and TimeSignature:
Printed Name/Agency
Reason:
Relinquished CustodyAccepted Custody Case ID: 90A-M-3151227 IB: IO Barcode: ∈65I6203 This form is incomplete without reference to the FD-1087.