Evidence Envelope

Chain of Custody-ELSUR
FD-504b (Rev. 8-17-01)

Ll Enhanced Un inal

Enclosure: x Original [1 Duplicate

Medium: n Magnetic Tape [] Computer [Disk ] Printed Maternal

Case File#:

Case Apt. [ape/lh
Agt Supervising Title 111 Intercepts
[1 Court Authorized Intercept - Source/Symbol#

Consensual Momtonng Intercepl

| Telephonic (TC Ml) A Moni lepht vie (NT
2543)

If NTCM Specify Device L)
[0 Recording of an Interview

Ll vVolunteered/Subpoenaed medium - Not FBI ELSUR

[1 Other Type of Recording/Interception, Specily
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Intercept Late: [1] DIV 1 Place 110 AA LW
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Data Transferred for Permanent Storage - Lat Lv £1
[0 Consensual: List Interceptees Below LL] | \ i

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JA redo Rodrig

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Signature: atu ?
Date: _ nfoalo Tim Dat Zan Ei pes
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Reason: [uid CIAL

Signatur
Date: _ |
Reason: _ 4

Signat ure;
Date: 1
Reason:

Signature

Date: ale a .

Reason: || 11 fli |
y 111) i L

1 40 NY3HNg TyH3a34
