EFTA00132039¶
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 # 2 | |
| Special Handling Instructions | Initial Receipt | Date and Time | ||
| HAZMAT Latents FGJ Req. Charging Freeze Refrigerate Biohazard Other | Signature: | 9/15/19 4:45pm | ||
| Printed Name | ||||
| Reason: | ||||
| Collected Agency: | ||||
| Relinquired Signature Printed Reason | Date and Time | Accepted Custody | Date and Time | |
| 8/15/19 6:00pm | Signature: Printed Name: Reason: | 8/15/19 6:00pm | ||
| 8/14/19 12:00am | Signature: Printed Name: Reason: receive transferred | 8/14/21 10:44am | ||
| Relinquished Signature Printed Reason | Date and Time | Accepted Custody | Date and Time | |
| 10/14/21 11:30am | Signature: Printed Name: Reason: from Split | 10/14/21 11:30am | ||
| 10/10/21 3:30pm | Signature: Printed Name/Agency: Reason: | |||
| Relinquished Signature Printed Reason | Date and Time | Accepted Custody | Date and Time | |
| 5/2/20 11:50am | Signature: Printed Reason: charge out | 5/2/20 11:50am | ||
| 5/3/20 11:50am | Signature: Printed Name/Agency: Reason: | |||
| Relinquished Signature Printed Reason | Date and Time | Accepted Custody | Date and Time | |
| 5/3/20 11:50am | Signature: Printed Name/Agency: Reason: | |||
| 5/3/20 11:50am | Signature: Printed Name/Agency: Reason: | |||
| 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: E6516213¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132040¶
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 FGJReq Charging Freeze RefrigerateBiohazardOther | Signature of SignedPrinted NameReason: InitialCollected ByAgency: FBI | 8/12/197:00pm | |
| Relinquished SignaturePrimeReason: | Date and TimeAccepted Custody | Date and Time8/16/192:20pm | |
| Relinquished SignaturePrinted NameReason: | Date and TimeAccepted Custody | Date and Time8/16/194:30pm | |
| Relinquited SignaturePrinted NameReason: | Date and TimeAccepted Custody | Date and Time5/11/1912:30pm | |
| Relinquished CustodySignaturePrinted NameReason: | Date and TimeAccepted CustodyFeb 24 2010 4262 | Date and Time9/25/2012:00pm | |
| Relinquished CustodySignaturePrinted NameReason: | Date and TimeAccepted CustodySignaturePrinted Reason: Received from CRF | Date and Time5/12/2011:50am | |
| Relinquished CustodySignaturePrinted NameReason: | Date and TimeAccepted CustodySignaturePrinted Reason: Change out | Date and Time5/12/2011:50am | |
| Relinquished CustodySignaturePrinted NameReason: | Date and TimeAccepted CustodySignaturePrinted Reason: | Date and Time | |
| Firearm Certification by(FI/SWAT)/Explosive Material Certification by(SABT): | ATF Trace Form Completed:□NCIC:□ |
| Printed Name: | |
| Signature: | |
| Date: |
This form is incomplete without reference to the FD-1087.¶