EFTA00123417.pdf

U.S. Department of Justice Office of the Inspector General • EVIDENCE CUSTODY DOCUMENT OFFICE CASE # LOG 0 DATE AND TIME OF SEIZURE ',Hy° golq- otoo-f 013 iill lot o-iisprn PROPERTY SEIZED FROM LOCATION OF SEIZURE Flee kkAA.) Nich), q 5O,W zet42-a2o- LAD sna ITEM DESCRIPTION OF THE PROPERTY SEIZED I CP A -P Machine NAME AND SIGNATURE OF WITNESS NAME AND SIGNATURE OF SEIZING SPECIAL AGENT CHAIN OF CUSTODY ITEM DATE/TIME 1.11 I : PURPOSE i - 1- da Cyll.14 / illta i 5:30 ?co t--- e,viestiAct 1 12-- t61 44 /2O, n?) -tor COQ i I: licagr A.tt..4 1 Metal -v1 cl-ecti Apo-f4Y. to "aO? OIH FORM III - 234/1 (04/23/07) EFTA00123417  CHAIN OF CUSTODY LOG CDFRN FEDERAL BUREAU OF PRISONS . DEPARTMENT OF JUSTICE NYM-19-0180 (Enclose with/attach to evidence) rim IINIM-19-00200 Epstein,Jeffery 76318-054 CASE ID NUMBER: SUSPECT (If known) CPAP Machine DESCRIPTION Or ITEM: 1 material 08/12/19 12:55 P.M DATE/TIME ITEM POUND: 9 South 206-220-LAD LOCATiON: SIGNATURE of PERSON RECOVERING EVIDENCE: PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY:iprinted name) Date & Time: Witness:(printed name)._ - EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (print I name) Date "'me. Ni tnr name)-_ EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date s Time: Witness:(printed name) DISPOSITION: ( ) Return to owner ( ) Lab Analysis (1) Hold as evidence FBI ( ) Destroy immediately ( ) ( ) ReY)rn to finder ( ) Other REMARK.' (condition of evidence): CHAIN Or CUSTODY grIN"''E RELEASED BY: DATE/TINE. DESTINATION; EVIDENCE RELEASED TO; SIS Office SIS Office 08-12-19 1:10PM /2,7# 1 12 friPC5L5 /1 ‘53 OC6ee STS Ler prescribed by P5510 EFTA00123418