[ ]

[ ]

[ ]

GPO US. GPO: 2016-395-373

FD-597 (Rev. 4-13-2015)

Page 1 of 1

# UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION

Receipt for Property

Case ID:

Case ID.:<empty>
On (date): 7/18/19
item (s) listed below were:
[ ] Collected/Seized
[ ] Received From
[x] Returned To
[ ] Released To

(Name): Marc Fernich
(Street Address):<empty>
(City):<empty>

Description of Item (s): Florida Drivers License #<empty>
Lumi-IVOT Swiss made Series 3050/3950 watch
US Passport Red case
Wallet (Master Card, US Customs + Border Protection Card,
2 Medicare Health card, United health care card, $500.
Yellow Post it)
Receipt from Dept Homeland Security

Received By: <signature>
(Signature)
Received From: <empty>

Printed Name/Title: MARC FERNICH
Printed Name/Title: <empty>

EFTA00021522