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FBI evidence chain of custody form for item 15

Blank FBI evidence chain-of-custody form for item 15, with transfer reasons noted but no names or details filled in.Machine-written summary

EFTA00132104

FD-1004 Rev. 7-7-2016

FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY

Evidence Type:GeneralDrugsFirearms/Weapon
DigitalValuablesFirearms/OtherItem # 15

Special Handling Instructions

  • HAZMAT
  • Latents
  • FGJ
  • Req. Charging
  • Freeze
  • Refrigerate
  • Biohazard
  • Other

Reason: TO CART

Reason: RECEIVED

Reason: TRANSFER

Reason: RECEIVED FROM EPF

Relinquished Custody

Signature: Printed Name/Agency: Reason:

Relinquished Custody

Signature: Printed Name/Agency: Reason:

Relinquished Custody

Signature: Printed Name/Agency: Reason:

Firearm Certification by (FU/SWAT) / Explosive Material Certification by (SABT):

Printed Name: Signature: Date:

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

EFTA00132105

EVIDENCE CHAIN OF CUSTODY

Date and TimeDate and Time
Reason:11:30amReason:11:30am
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:
Printed Name/Agency:
Reason:
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:
Relinquished CustodyDate and TimeAccepted CustodyDate and Time
Signature:Signature:
Printed Name/Agency:Printed Name/Agency:
Reason:Reason:

Case ID: 90A-M-3151227 IE: 15 Barcode: €6516208

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

Other documents from the same file

These documents were released together, in one file.

and 120 more in the same file.

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