Chain of Custody - ELSUR Evidence Medizm Storage Envelope a + 2 i&
FD-504d (Rev. 8-31-2017) r& Ad 2 GY

CaeFili:  1OC-NY-3)5Y4 599 #__|
Doc# Total # gf I
Case Agent/Task Force Officer:
Evidence Type: [J] Titlelm [J FISA [J Consensual Monitoring [J] Computer Trespass —
of Video Surveillance O PRIT [J] Aerial Survelliance [] Object T —
, on
[+ J
ER Es ci] ia ow [0 Custodial — Interview On
[1 Non-Custodial - Surreptitious Interview ~~ [J Other 0 —
| 0=
Enclosure: [of Original [] Enhanced Original =
Media Type: £1 CD/DVD/Blue Ray [J] Hard Drive [0 SDCard [J Other
Intercept Date(s): ___¢ 14 [1 Locaton:_|[ bc dk
Download Date: 12], 34. Download Time: | 235 pw
Title [II'CM Interceptees _ Listed Below or [J Sec Attached
_Shabada HarOos -
Accepted Custody Released Custody
Print Name:
Signature: /_ :
Date: {i alm : [| 25 iL
Reason: FF [SUK
Tracking #:

Print Name:

Signature: Signature:
Date: i 1 Date: 1 [i T/
Reason: Wa Reason:
Tracking #: Tracking #:

Print Name:
: Signature:
2 Jeers Time: Yio Fru Date; L[ 24) LL
: Le el cadigh Reason: Slor te Se

Tracking #:

—p

—

EFTA00008482
