Police record · 2019

FBI evidence chain of custody forms for case 90A-NY-3151227

Two FBI evidence chain-of-custody forms recording collection on August 10, 2019 and subsequent transfers to cart and between custodians.Machine-written summary

EFTA00132016¶

FD-1004 Rev. 7-7-2016¶

FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶

Evidence Type: □ General □ Drugs □ Firearms/Weapon □ Digital □ Valuables □ Firearms/Other¶

Special Handling Instructions	Initial Receipt	Date and Time
□ HAZMAT □ Latents □ FGJ	Signature of Selizing Invoice	8/10/19 4:30pm
□ Req. Charging □ Freeze □ Refrigerate	Printed Name/Agency:
□ Biohazard	Reason: Initial Collection
□ Other	Collected By: MAST Harmony Agency:

Relinquished Custody:¶

Date and Time	Accepted	Date and Time
Signature: 8/12/19	Signature: 8/12/19
Printed N: 10:00am	Printed N: 10:00am
Reason: TO CART	Reason: TO CART	10:00am

Relinquished Custody:¶

Date and Time	Accepted Custody	Date and Time
Signature: 8/15/19	Signature: 8/15/19
Printed N: 10:20am	Printed N: 10:20am
Reason: TO CA	Reason: RECEIVED	10:20am

Relinquished Custody:¶

Date and Time	Accepted Custody	Date and Time
Signature: 8/15/19	Signature: 8/15/19
Printed N: 2:00pm	Printed N: 2:00pm
Reason: TRANSFER	Reason: ACCEPTED	2:00pm

Relinquished Custody:¶

Date and Time	Accepted Custody	Date and Time
Signature: 8/15/19	Signature: 8/15/19
Printed N: 2:00pm	Printed N: 2:00pm
Reason: TRANSFER	Reason: RECEIVED	2:00pm

Relinquished Custody:¶

Date and Time	Accepted Custody	Date and Time
Signature: 8/15/19	Signature: 8/15/19
Printed N: 2:00pm	Printed N: 2:00pm
Reason: TRANSFER	Reason: RECEIVED	2:00pm

Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT): ATF Trace Form Completed: □ NCIC: □¶

Printed Name: Signature: Date:¶

Case ID: 90A-NY-3151227¶

Barcode: 6516205¶

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

EFTA00132017¶

EVIDENCE CHAIN OF CUSTODY¶

Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature: Printed Name Reason:	5/20/14 11:50am	Signature: Printed Name Reason:	5/20/14 11:50am
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature: Printed Name Reason:	5/20/14 11:50am	Signature: Printed Name/Agency: Reason:
Relinquished Custody	Date and Time	Accepted Custody	Date and Time
Signature: Printed Name/Agency: Reason:	Date and Time	Signature: Printed Name/Agency: Reason:
Relinquished Custody	Date and Time	Accepted Custody Case ID: 90A-M-3151227 IB: 12 Barcode: €6526205¶ This form is incomplete without reference to the FD-1087.¶

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FBI evidence chain of custody forms for case 90A-NY-3151227

Evidence Type: □ General □ Drugs □ Firearms/Weapon □ Digital □ Valuables □ Firearms/Other¶

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