7/20/2021

FD-1087

## 31E-MM-108062 - 1B4

Evidence Item: 31E-MM-108062 -- 1B4
Evidence Type: General
(U//FOUO) One box containing:
1) WHITE PAPER A. PBPD 05-381(1)
2) WHITE PAPER JET BLUE RECEIPT
(2) 3) WHITE PAPER JU.
(3) 4) WHITE PAPER JO.
(4) 5) MESSAGE M.H.
(5) 6) WHITE PAPER H. S.
(6) 7) WHITE PAPER A.
(7) 8) WHITE PAPER J.S.
(8) 9) WHITE PAPER H.
(9) 10) WHITE PAPER ST. BARTHS (10)
Description:
11) MESSAGE - G.
(11) 12) MESSAGE - J.L.......................
(12) 13) WHITE PAPER - F.
(13) 14) MESSAGE S.
(14) 15) MESSAGE - J.L.
(15) 16) MESSAGE J.L. GIRL
(16) 17) WHITE PAPER - S.
(17) 18) WHITE PAPER #S
(18) 19) WHITE PAPER - J.
(19) 20) WHITE PAPER - J.
(20) 21) WHITE PAPER (917)
(21) 22) WHITE PAPER D.M.
(22) 23) PHONE # PRINT OUT (23)
Location: E03707388 - ECR8
E4640430 - ECR8, I4
Barcode: E6516714

## Details

<table><tr><th>Collected On:
CATS ID #: None
FBI Seizure #: None</th><th>08/28/2006 8:00 AM</th><th>Receipt Item #: None
CATS Abandonment
Abandonment #:</th><th>#: None
None</th></tr><tr><td colspan="2">Storage Location</td><td>Discovery Location</td><td></td></tr><tr><td>Holding Office:
Finalized By:</td><td>NY-NEW YORK</td><td>Area:</td><td>Unavailable in data migrated from
ACS</td></tr><tr><td>Last Inventory:</td><td>07/20/2021 12:00 AM</td><td>Seizing Individual:
Other Seizing
Individual:

Specific:

Collected By:</td><td>None

Unavailable in data migrated from
ACS</td></tr><tr><td>Retention</td><td></td><td></td><td></td></tr><tr><td>Retention: Missing</td><td></td><td></td><td></td></tr><tr><td>Legal Caveats</td><td></td><td></td><td></td></tr><tr><td>None</td><td></td><td></td><td></td></tr><tr><td>Chain of Custody</td><td></td><td></td><td></td></tr><tr><td colspan="4">Shipping Log</td></tr><tr><td colspan="4">History</td></tr><tr><td colspan="4">Acquisition Event</td></tr><tr><td>Acquisition Event:
Collected From:</td><td>(U//FOUO) Items migrated on 2006-08-28
(U//FOUO) DET.</td><td></td><td></td></tr><tr><td></td><td>345 SOUTH COUNTY ROAD
PALM BEACH, FL, 33480</td><td></td><td></td></tr><tr><td>Receipt Given:</td><td>No</td><td></td><td></td></tr></table>

https://sentinel.fbinet.fbi/lavender/#/Cases/2383628

1/2

SDNY_GM_02753564

EFTA00030224

7/20/2021

FD-1087

Holding Office: MM - MIAMI
Evidence Log: Missing
Missing

https://sentinel.fbinet.fbi/lavender/#/Cases/2383628

2/2

SDNY_GM_02753565

EFTA00030225

Chain of Custody FD-192

Case ID . 31E-MM-108062

1B4

Barcode : E6576714

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Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>
Date/Time:<empty>

Accepted By:
Printed Name:<empty>
Signature:<signature>
Reason:<empty>

Printed Name:

Signature: .

Date:.....

SDNY_GM_02753566

EFTA00030226

EVIDENCE CHAIN OF CUSTODY

<table><tr><th>Relinqui</th><th></th><th></th><th>Date and
Time</th></tr><tr><td>Signatur</td><td></td><td></td><td>6/18/14</td></tr><tr><td>Printed N</td><td></td><td></td><td></td></tr><tr><td>Reason:</td><td></td><td></td><td>2:368</td></tr><tr><td>Relinqui</td><td></td><td></td><td>Date and
Time</td></tr><tr><td>Signature
Printed N
Reason:</td><td></td><td></td><td>6/18/19
3:45p</td></tr><tr><td>Relinqui</td><td></td><td></td><td>Date and
Time</td></tr><tr><td>Signatur
Printed N
Reason:</td><td></td><td></td><td>9/26/19 226pm</td></tr><tr><td>Relinquiesoy</td><td>Date an

Time</td><td></td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td></td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td></td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and
Time</td><td>Accepted Custody</td><td>Date and
Time</td></tr><tr><td>Signature:</td><td rowspan="3"></td><td>Signature:</td><td></td></tr><tr><td>Printed Name/Agency:</td><td>Printed Name/Agency:</td><td></td></tr><tr><td>Reason:</td><td>Reason:</td><td></td></tr></table>

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

SDNY_GM_02753567

EFTA00030227