EFTA00132073 FD-1004 Rev.07-27-2021 EVIDENCE CHAIN OF CUSTODY
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:
Printed Name/Agency:
Reason:
Date and TimeSignature:
Printed Name:
Reason:
4/16/21
10:14am
Relinquished CustodyAccepted CustodyDate and Time
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Printed Name/Agency:
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Date and TimeSignature:
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6/16/21
12:39pm
Relinquished CustodyAccepted CustodyDate and Time
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5/12/22
11:54am
Signature:
Printed Name:
Reason:
5/12/22
11:00am
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
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Date and TimeSignature:
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Relinquished CustodyAccepted Custody Case ID: 90A-NY-3151227 1B: 58 Barcode: E6944132 This form is incomplete without reference to the FD-1087. EFTA00132074 FD-1004 Rev.07-27-2021 EVIDENCE CHAIN OF CUSTODY
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:
Printed Name/Agency:
Reason:
Date and TimeSignature:
Printed Name:
Reason:
4/16/21 10:44am
Relinquished CustodyAccepted CustodyDate and Time
Signature:
Printed Name/Agency:
Reason:
Date and TimeSignature:
Printed Name:
Reason:
10/16/21 3:39pm
Relinquished CustodyAccepted CustodyDate and Time
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Date and TimeSignature:
Printed Name:
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3/8/21 11:50am
Relinquished CustodyAccepted CustodyDate and Time
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Date and TimeSignature:
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Relinquished CustodyAccepted Custody Case ID: 40A-NY-3151227 IB: 59 Barcode: E6944131 This form is incomplete without reference to the FD-1087.