EFTA00132013



FD-1004
Rev: 7-7-2016


FEDERAL BUREAU OF INVESTIGATION
EVIDENCE CHAIN OF CUSTODY

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

**Special Handling Instructions**

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

**Relinquished Custody**

| Date and Time | Accepted Custody |
| :--- | :--- |
| Signature: | 8/10/19 10:00 AM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |

**Relinquished Custody**

| Date and Time | Accepted Custody |
| :--- | :--- |
| Signature: | 8/15/19 10:00 AM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |

**Relinquished Custody**

| Date and Time | Accepted Custody |
| :--- | :--- |
| Signature: | 8/16/19 2:00 PM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |

**Relinquished Custody**

| Date and Time | Accepted Custody |
| :--- | :--- |
| Signature: | 8/15/19 3:00 PM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |

**Relinquished Custody**

| Date and Time | Accepted Custody |
| :--- | :--- |
| Signature: | 8/15/19 3:00 PM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |

**Firearm Certification by (F1/SWAT) / Explosive Material Certification by (SABT):**

Printed Name:

Signature:

Date:

Case ID: 90A-NY-3151227

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

EFTA00132014

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: Printed Name Reason:</td><td>9/12/20 11:58am</td><td>Signature: Printed Name Reason:</td><td>9/12/20 11:58am</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: Printed Name Reason:</td><td>6/3/20 11:58am</td><td>Signature: Printed Name/Agency: 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: Printed Name/Agency: Reason:</td><td>

Case ID: 90A-M-3151227 IB: 11 Barcode: €6516204

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