EFTA00155177

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<br>Reason:</td><td>01/14 9:25am</td><td>Signature:<br>Printed Name<br>Reason:</td><td>01/14 9:25am</td></tr><tr><td>Relinquited Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td></tr><tr><td>Signature:<br>Printed Name<br>Reason:</td><td>02/16 2:00pm</td><td>Signature:<br>Printed Name<br>Reason:</td><td>02/16 2:00pm</td></tr><tr><td>Relinquited 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/Agency:<br>Reason:</td><td>

Case ID: 31E-MM-108062 1B: 5 Barcode: E4229232 E651671S

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

EFTA00155178