EFTA00132025



FD-1004
Rev. 7-7-2016


FEDERAL BUREAU OF INVESTIGATION
EVIDENCE CHAIN OF CUSTODY

| Evidence Type: | General | Drugs | Firearms/Wapon | Item # |
| :--- | :--- | :--- | :--- | :--- |
| Special Handling Instructions | | | | |
| □ HAZMAT | □ Latents | □ FGJ | Signature of Seller | 8/10/19 |
| □ Req. Charging | □ Freeze | □ Refrigerate | Printed Name/Agency | 4:30pm |
| □ Biohazard | | | Reason: Initial | |
| □ Other | | | Collected By: Agency: FBI | |

| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| :--- | :--- | :--- | :--- |
| Signature: | 8/12/19 | Signature: | 8/12/19 |
| Printed: | 10:00AM | Printed Named: | 10:00AM |
| Reason: TO CART | | Reason: TO CART | |

| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| :--- | :--- | :--- | :--- |
| Signature: | 8/15/19 | Signature: | 8/15/19 |
| Printed: | 10:20AM | Printed Named: | 10:20AM |
| Reason: TO GA | | Reason: RECEIVED | |

| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| :--- | :--- | :--- | :--- |
| Signature: | 8/15/19 | Signature: | 8/15/19 |
| Printed: | 7:00AM | Printed Named: | 7:00AM |
| Reason: TRANSFERED | | Reason: |

| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| :--- | :--- | :--- | :--- |
| Signature: | 8/15/19 | Signature: | 8/15/19 |
| Printed: | 3:00PM | Printed Named: | 3:00PM |
| Reason: TO GID | | Reason: RECEIVED FROM ERF | |

| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| :--- | :--- | :--- | :--- |
| Signature: | | Signature: | |
| Printed Name/Agency: | | Printed Name/Agency: | |
| Reason: | | Reason: | |

| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| :--- | :--- | :--- | :--- |
| Signature: | | Signature: | |
| Printed Name/Agency: | | Printed Name/Agency: | |
| Reason: | | Reason: |

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

Printed Name:

Signature:

Date:

Barcode: 66576208

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

EFTA00132026

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>5/10/20 11:50am</td><td>Signature: Printed Name Reason:</td><td>5/10/20 11:50am</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>5/3/20 11:50am</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 rowspan="2">Date and Time</td><td>Signature: Printed Name/Agency: Reason:</td><td rowspan="2">Date and Time</td></tr><tr><td>Relinquished Custody</td><td>Accepted Custody</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 rowspan="2"></td><td>Signature: Printed Name/Agency: Reason:</td><td rowspan="2"></td></tr><tr><td>Relinquished Custody</td><td>Accepted Custody</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 rowspan="2"></td><td>Signature: Printed Name/Agency: Reason:</td><td rowspan="2"></td></tr><tr><td>Relinquished Custody</td><td>Accepted Custody</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 rowspan="2"></td><td>Signature: Printed Name/Agency: Reason:</td><td rowspan="2"></td></tr><tr><td>Relinquished Custody</td><td>Accepted Custody</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 rowspan="2"></td><td>Signature: Printed Name/Agency: Reason:</td><td rowspan="2"></td></tr><tr><td>Relinquished Custody</td><td>Accepted Custody</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 rowspan="2"></td><td>Signature: Printed Name/Agency: Reason:</td><td rowspan="2"></td></tr><tr><td>Relinquished Custody</td><td>Accepted Custody</td></tr></tbody></table>

Case ID: 90A-M-3151227 IB: 1S Barcode: €6516208

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