EFTA00132065



FD-1004
Rev. 10-12-2020


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:<br>Printed Name/Agency:<br>Reason:</td><td></td><td>Signature:<br>Printed Name<br>Reason:</td><td>105/20<br>1101</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:<br>Printed Name/Agency:<br>Reason:</td><td></td><td>Signature:<br>Printed Name<br>Reason:</td><td>105/20<br>1102</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:<br>Printed Name/Agency:<br>Reason:</td><td>3/12/20<br>11:50</td><td>Signature:<br>Printed Name<br>Reason:</td><td>08/7/20<br>11:50</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:<br>Printed Name/Agency:<br>Reason:</td><td>5/3/20<br>11:60am</td><td>Signature:<br>Printed Name/Agency:<br>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:<br>Printed Name/Agency:<br>Reason:</td><td>

Case ID: 90A-M-3151227

E6723796

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

EFTA00132066



FD-1004
Rev. 10-13-2020


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:<br>Printed Name/Agency:<br>Reason:</td><td></td><td>Signature:<br>Printed Name<br>Reason:</td><td>9105120<br>1202</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:<br>Printed Name/Agency:<br>Reason:</td><td></td><td>Signature:<br>Printed Name<br>Reason:</td><td>9105120<br>1202</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:<br>Printed Name/Agency:<br>Reason:</td><td>5/1/21 11:50</td><td>Signature:<br>Printed Name<br>Reason:</td><td>60/30<br>11:50</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:<br>Printed Name/Agency:<br>Reason:</td><td>5/3/21 11:50</td><td>Signature:<br>Printed Name/Agency:<br>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:<br>Printed Name/Agency:<br>Reason:</td><td>

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