FD-20.5.1 (R..1-a99)
U.S. Department of Justice
)
)
Bureau File Number
C."
)
)
)
Field Office Criminal Investigative
)
and Administrative Files
)
Armed and Dangerous
FOIPA
DO NOT DESTROY
NCIC
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ELSUR
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Suicidal
Financial Privacy Act
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EFTA02728186
BP-A0911
AUG 11
ECN U NYM-19-0238
ITEM if NYM-19-00269
CASE ID NUMBER:
(Enclose with/attach to evidence)
DESCRIPTION OF ITEM:One
SUSPECT (If known) Epstein,Jefferey 76318-054
returned to sender card to inmate Epstein
DATE/TIME ITEM FOUND: 9/25/19 06:00 A.M
LOCATION:
Mail Room
SIGNATURE OF PERSON RECOVERING EVIDENCE: a
PRINTED NAME.
DROP-BOX BI:(printed name)
Date & Time. .
Witness:(printed name)
(printed name)
Date & Time:
Witness:(printed name)
(printed name)
Date & Time: 09-25-19 11:00 AM
Witness:(printed name)
DISPOSITION:
(t) Hold as evidence
(
Return to owner
( ) Lab Analysis
( ) Return to finder
(
Destroy immediately
( ) FBI
( ) Other
REMARKS (condition of evidence):
DATE/TIME:.
DESTINATION-
09-25-19
SIS office
09-25-19
SIS Safe
POP
Prescribed by P5510
EFTA02728187
MQP
MO M.blcalons Lid • 12 The hones • 6-8 Nerilumplon Sueet • London NI 2NY
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EFTA02728189
EFTA02728190
Type
1A
#
92
Acquired By
Date
2021-07-23
Serial
192
Attachment Type
Digital
OST Notes
Vol
1A
91
2021-05-24
191 Digital
4
1A
90
2021-05-24
191 Digital
4
1A
89
2020-03-12
189 Digital and Physical
4
1A
88
2020-09-17
187 Digital
4
1A
87
2020-09-02
186 Digital
4
1A
86
2019-09-11
182 Physical
4
1A
85
2019-08-21
181 Digital
1A
84
2019-08-23
180 Digital
4
1A
83
2019-08-26
179 Digital
4
1A
82
2019-12-19
178 Digital
1A
81
2019-12-19
177 Digital
4
1A
80
2019-12-19
176 Digital
4
1A
79
2019-12-19
175 Digital
4
1A
78
2019-08-20
174 Digital
4
1A
77
2019-08-21
173 Digital
4
1A
76
2019-08-19
172 Digital
4
1A
75
2019-08-14
171 Digital
4
1A
74
2019-08-20
170 Digital
4
1A
73
2019-09-25
169 Digital
4
1A
72
2019-12-11
163 Digital
4
1A
71
2019-12-11
162 Digital
4
1A
70
2019-11-19
157 Digital and Physical
4
1A
69
2019-11-19
156 Digital
4
1A
68
2019-09-18
151 Digital
4
1A
67
2019-08-15
150 Digital
4
1A
66
2019-08-15
148 Digital
4
1A
65
2019-09-26
147 Physical
Not Located
4
1A
64
2019-09-26
147 Digital
4
1A
63
2019-09-30
145 Digital
4
1A
62
2019-09-30
143 Digital and Physical
4
1A
61
2019-09-25
142 Digital
4
1A
60
2019-08-13
131 Digital
4
1A
59
2019-08-13
129 Digital
4
1A
58
2019-08-30
126 Digital and Physical
4
lA
57
2019-09-24
125 Physical
4
14
56
2019-08-23
122 Digital
4
lA
55
2019-09-11
119 Digital and Physical
4
EFTA02728191
FD-340c(4-1I.03)
Pile Number
C
9o0
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Field Office Acquirlog Evidence
I 16)55
Serial # of Originating 'Winne°
Date Received
From
(Mae of Coradbactsfloterviewee)
(Address)
(CisymdState)
By
7b Be Retarned 0
Yes
No
Receipt Given
0
Yes
No
Grand Jury Material - Diso, nieste Only Pursuant to Rule 6 (e)
Federal Roles of Criminal Procedure
0
Yee
Falun) Ilutpayer Information (FTI)
Yes
gl)No
16Pq°
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Unit:
Count:
Print Name
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Print Name
Signature
Metropolitan ConroctionalCenter
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'Official count slip
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2. Print Name
2. Signatu
EFTA02728193
MOO AtIllIORIC
MCC maw tont'
CCIIIIII001111601t1T
MCC NEW YORK
30 MINUTE CHECK SHEET
L-TIER
DATE:
08/09/2019
TIME
FRAME
TIME
TIME
START
END
SIGNATURE
TIME FRAME
TIME
START
TIME
END
SIGNATURE
TIME FRAME
TIME
siI
TIME
SIGNATURE
ENO
12:00.12.30 AM (20( 00
t00-8:30 AM
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MORNING WATCH
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OPERATIONS
LIEUTENANT
OPERATIONS
LIEUTENANT
OPERATIONS
LIEUTENANT
A staff member must observe all inmates confined in a continuous locked down status, such as administrative
detention or disciplinary segregation, at least once in the first 30 minute period of the hour (example, 12:00
a.m. — 12:30 a.m.) followed by another round in the second 30 minutes period of the same ho r (example,
12:30 am — 1:00 a.m.), thus ensuring an inmate is observed at least twice per hour. These rounds are to be
conducted on an irregular schedule and no more than 40 minutes apart. All observations mulct be
documented.
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FD-340c0-11-(0)
File Number
Field Office AcquiemgEsidence
WA/ W-IC
Serial # of Originating Document
Date Rece lied
a '4S 46(9
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0 No
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0 No
Good Stay Maltrial - Disseminate Only Panuant to Rule 6(e)
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El Yes
D No
Fed erallkoqlayer Information (FT1)
Yes
K
No
Title
Reliance:
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EFTA02728201
Sentinel Working Copy
https://sentinel.fbinetibilapps/evidencemgint/index-actionwindow.html
Case:
90A-NY-3151227
Item:
1844
Oitscdp8om
(O) one (1) Apple iPhone XS, IMO:
357208091738649
Location: Charged Out
Barnacle It: 865163336
Collected On:
08/26/2019 11:00 AN EST
Receipt Item t
None
FBI Seizure d: None
Abandonments; None
Digital Information
Type: Cell Phone
Batteries Charged: No
Number Collected:
1
Collected by CART: No
Discovery Location
Arm: None
Specific: None
Seizing Individual:
Seizing Individual None
Men
Antldpated Disposition
Return on 08/30/2019
Storage Information
Holding Office: NEW YORK
CATS IDth None
CATS Abandonment it None
Others: None
Others Agency: None
Collected By:
Finalized Br
Last Inventory: None
Chain of Custody
shipping / tardier Log
'History
Acquisition Event Details
Acquisition Event
(U) Receipt of Apple iPhone XS, IMEI4: 357208091738649
Collected From:
(U) Associate SHANNON FARRAR
01 ~
,
tell Figgins
suite 305
Receipt Given: No
Holding Office:
NEW YORK
Evidence Log:
90A-NY-3151227
Serial 57
1 of 1
8/29/2019 3:23 PM
EFTA02728202
Serials
https://sentinel.fbinetfbi/apps/serialsclient/index-serialspreview.htm.,.
UNCLASSIFIED
Filing and Security
V
Primary Case:
90A-NY-3151227
Serial Number:
57
Serialized:
08/26/2019
Category:
Full Investgation
Initiated:
08/12/2019
Reference Documents:
ta 90A-NY-3151227
It1 Serial 56
Details
Evidence
Referenced By:
90A-NY-3151227
E
Item 1644
Case
(U) L/N$MB(S); JEFFREY
INVESTIGATION
O
90A-NY-315122
nal
z
NYCO25647
valence
E 0 08/26/19 [nit:
New York CART Lab
I
1 If
NYCO25647
Details: (U)
On 8/26/2019, SA_
received one Apple iPhone XS. IMEIN: 357208091738649 from SHANNON
FARRAR, Associate. LAW OFFICES OF MONTELL FIGGINS, address 17 Academy Street suite 305.
Newark. NJ 07102, telephone number 973-242-4700, facsimile number 973-242-4701. representing
MICHAEL THOMAS, date of birth 2/11/1978, SUSS'S
FARRAR provided a copy of the United States Department Orme of the Inspector General, Conan
search Computer)Electrceic Equipment rem, (010-Form 233/4), for an Apple none XS, signed by
on 8,26/2019 at 10:20 a.m. and witnessed by FARRAR on the same date and time.
FARRAR provided a
with the Apple iPhone XS, IMEIO: 357208091738649 and stated that
THOMAS had unlocked the Phone and turned al the security codes. SA-
placed the Phone in
-airplane mode' and provided FARRAR with an F0-597 receipt (or property for the iPhone.
Acquisition Event:
(U) Receipt of Apple (Phone XS. IMES: 357208091738649
Collected From: (U) Associate SHANNON FARRAR
Law Offices of Monte° Figgins
17 Academy Street, suite 305
Newark. New Jersey
Receipt Given:
No
Holding Office: NEW YORK
Cir Evidence 18 Digital
Description:
(U) One (1) Apple iphono XS. IMElft: 357208091738649
1 of 2
8/26/2019 2:11 PM
EFTA02728203
• Serials
https://sentinel.fbinetibilapps/serialsclient/index-serialspreview.hlm...
Collected On:
08/26/2019 11:CO AM
Digital Information
Type:
Cell Phone
Batteries Charged:
No
Number Collected: 1
Collected by CART:
No
Discovery Location
Area:
None
Seizing Individual:
Collected By:
Others:
None
Others:
one
Specific: None
Others Agency:
None
Anticipated Disposition
Return on 08/30/2019
Indexing
V
Display Name
Enterprise Role
Entity Role
Entity Type
US Person
M THOMAS
Reference
PERSON
Unknown
SHANNON FARRAR
-
Reference
PERSON
Yes
Fest Previous Ei Next Last
I- 2 of 2 EnSues
Intelligence
V
Intelligence Value:
No Intelligence Value
Potential IIRISIR?
No
Sentinel Tags: No Senanel Tags Selected
Can you identify the source of No
this Information?
Routing
Droned By:
Approved By:
2 of 2
8/26/2019 2:11 PM
EFTA02728204
FDra0.04
Rev. 7-7-2016
Evidence Type:
E General
•
Drugs
0
Firearms/Weapon
Item #
1K Digital
III Valuables
•
Firearms/Other
.
.
Specialliendlinginstructions
*
Initial.Reeeipt
.
.
Date.and
Time
0 HAZMAT
•
Latents
0
Req. Charging
0
Freeze
II Biohazard
0
Other
M FGJ
•
Refrigerate
Signature of Seizing Individu
Printed Name/Agency:
Reason: Initial Collec .$ i
e b$6)ic
I I !ozit$4,
Collected By: St
Agency: ea,
Relinquished Custody
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Date-and
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N
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,.-. Date and
Time
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' Accepted Custody
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Signature:
Printed Name/Agency:
ejnliq
i 54 S M6
,
Printed Name/Agency:
Reason:1-17„6O4cy CZ. Cc/VT-6Oi
Reason: Cr) gq
Relinquished Custody
Date and ..
Trine
Atcepted.Custody
Dettand
, Time
Signature:
8 kilet
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Signature:
Name/Agency:
Printed Name/Agency:
Reason: room, i c,
Printed Name/Agency:
-Reason:
. Relinquished Custody
Dateand :.
Time
AceelitedtCnstody
Date-and.
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished.Custody
_
Dateand- :
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Signature:
•
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Printed Name/Agency:
Reason:
Reason:
Firearm Certification by (FUSWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
ATF Trace Form Comple ed: K
NCIC: 0
Case ID: 5 )0/4 — NY • PS I L2;7
IB:
3t1V
Barcode: 4.-CS
6 33
This form is incomplete without reference to the FD-I087.
EFTA02728205
ractailardam
PD-1057 (Rev. 54-10)
UNCLASSIFIED
Electronic Communication
Title: (U) Return of Property belonging to MICHAEL
THOMAS
NY-C19
Contact: Elisabeth Wheeler,
Approved By: SSA
Drafted By:
Case ID #: 90A -NY -3151227
(U) UNSUB(S);
Synopsis: (U) Return of property to SHANNON FARRAR, Defense Counsel of
MICHAEL THOMAS
Enclosure(s): Enclosed are the following items:
1. (U) FD-1004
2. (U) FD-597
Details:
On August 28, 2019, at approximately 12:32 p.m., Special Agent (SA)
returned the below property to SHANNON FARRAR,
Associate at the LAW OFFICES OF MONTELL FIGGINS, business address 17.
Academy Street, Suite 305, Newark, New Jersey, telephone number (973)
242-4700. The property belonged to FARRAR's client, MICHAEL THOMAS:
(1) APPLE iPhone XS, IMEI 1357208091738649
The signed FD-597 is included in the lA section of this report, as is
UNCLASSIFIED
EFTA02728206
UNCLASSIFIED
Title: (U) Return of Property belonging to MICHABI, THOMAS
Re: 90A-NY-3151227, 08/29/2019
a copy of the FD-1004 Chain of Custody.
Due to the permanent return of item 1B44 to the owner's lawyer, SA
Wheeler requests the FBI New York's Evidence Control Unit change the
status of evidence item 1B44 to reflect its permanent return.
UNCLASSIFIED
2
EFTA02728207
(NY) (FBI)
From:
(FBI)
Sent:
Wednesda , Se tember 04, 2019 12:48 PM
To:
FBI)
Subject:
Evidence return concurrence --- UNCLASSIFIED
SentinelCaseld:
90A-NY-3151227
SentToSentinel:
9/4/2019 4:48:00 PM
Classification: UNCLASSIFIED
Sent for Approval for RECORD//Sentinel Case 90A-NY-3151227
H
Assistant United States Attorney (AUSA)
of the Southern District of New York concurred with the return of
evidence item 1644 in file number 90A-NY-3151227. I returned that item, belonging to MICHAEL THOMAS, to his
lawyer, SHANNON FARRAR, on August 28, 2019, as outlined in Serial 68 of the same file number.
Sincerely,
Classification: UNCLASSIFIED
EFTA02728208
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EFTA02728219
Mod AO 442 (09/13) Arrest Warrant
AUSA Name & Telno:
for the
Southern District of New York
United States of America
v.
MICHAEL THOMAS
Defendant
To:
Any authorized law enforcement officer
"T
o y • eR
Case No:
' 41
ARREST WARRANT
8 3 0
YOU ARE COMMANDED to arrest and bring before a United States magistrate judge without unnecessary delay
(name of person to be arrested)
MICHAEL THOMAS
who is accused of an offense or violation based on the following document filed with the court:
62Ir Indictment
O Superseding Indictment
O Information
O Superseding Information
O Complaint
O Probation Violation Petition
O Supervised Release Violation Petition
O Violation Notice O Order of the Court
This offense is briefly described as follows:
Violations of 18 U.S.C. 371, 1001, and 2
Date:
11/19/2019
City and state:
New York, NY
=Uhl officerisighatIte
Hon. Sarah Nettnen, 4JSMJ
Printed name andditle
Return
This warrant was received on (date)
, and the person was arrested on (date)
at (city and state)
Date:
Arresting officer's signature
Printed name and title
EFTA02728220
Mod AO 442 (09113) Arrest Warrant
AUSA Name & Telno:
for the
Southern District of New York
United States of America
v.
TOVA NOEL
Defendant
To:
Any authorized law enforcement officer
19 CRIM 830
Case No.
ARREST WARRANT
YOU ARE COMMANDED to arrest and bring before a United States magistrate judge without unnecessary delay
(name ofperson to be arrested) TOVA NOEL
who is accused of an offense or violation based on the following document filed with the court:
Cif Indictment
O Superseding Indictment
O Information
O Superseding Information
O Complaint
O Probation Violation Petition
O Supervised Release Violation Petition
O Violation Notice O Order of the Court
This offense is briefly described as follows:
Violations of 18 U.S.C. 371, 1001, and 2
Date:
11/19/2019
City and state:
New York, NY
Issuing Officer's
Minn
•
Hon. Sarah Netburri, LlSIit
Prii,ted,,ame and title
Return
This warrant was received on (date)
• and the person was arrested on (date)
at (clot and state)
Date:
Arresting officer's :ignorant
Printed name and title
EFTA02728221
U.S. Department of Justice
United States Marshals Service
Personal History of Defendant
Taken into Federal custody by the following:
El Street Arrest (not from a correctional/detention facility)
K Writ Used (Must provide copy of writ)
K Custodial Arrest (from a correctional/detention facility)
K Prior Federal Arrest or Safekeeper - Register #:
K Safekeeper Location:
Last Name: THOMAS
Sex:
Hair:
Eyes:
First Name: MICHAEL
Middle Name:
Pregnant:
Race:
Height:
WeightM
DOB:
City of Birth:
State/Coun ry of Birth:
Citizenship
FBI #:
I State ID#:
Alien #:
SSN:
Resident Address/City/State/ZIP:
Home Phone:
COURT CASE
Agency: FBI
Agent Last Name:
Agent Phone #
Cell Phone:
First Name:
Arrest Date: 11/19/2019
Marital Status: Single
Agency OKI: NYFBINY00
Location/Facility of Arrest: 290 BROADWAY FBI NY
NCIC Code
Charge Description
Title/Code
18 USC 1001
18
USC
371
Known Detainers/Warrants:MN K Y - Agency:
(Must provide a copy of any detainers)
U/LES
Page 1 of 3
Form USM-312
Rev. 11/17
EFTA02728222
REMARKS
Security Cautions:
K Current or former military
El Current or former public official
D Eligible for diplomatic immunity
D Threat to witness (Describe below)
Remarks:
ALIAS Last Name
ALIAS First, MI
Ei Current or former LE/corrections
K Assault on LE/corrections
O Leadership role
K CI (Describe below)
Remark
K Current or former intelligence
p SAM subject or candidate
K Separation needs (Describe below)
K Other (Describe below)
Date of Birth
MARKS
Relationship
Co-Defendant
Last Name
Scar/Mark/Tattoo (Specify)
Location
VEHICLES
Vehicle
Year
Make
LICENSES
License Number
Model
First, MI
Register #
NOEL
Color(s)
License State
Miscellaneous Number
OCCUPATIONS
Description
Vehicle Style
Type (Select from dropdown menu or type below)
Occupation: BOP CORRECTIONS OFFICER
Start Date:
Bank Name
Branch
End Date:
Account
Entry
Date
State and
Plate #
State Driver's License
Phone
Resident Address, City, State,
ZIP Code
Registration
Date
Remarks (e.g., Issuing State or Country, etc.)
Company/Employer Name: FEDERAL BOP
Point of Contact:
Account #
Discharge
Date
Employment Address: 150 PARK ROW NEW YORK NY
Phone: 646-836-6300
Branch Address
Phone #
Discharge Type Military Occupation
Remarks
•
Additional Information/Remarks/Continuation:
U/LES
Page 2 of 3
Form USM-312
Rev. 11/17
EFTA02728223
PROFILE
Defendant Risks: *Requires remarks below
O Escapee
0 Planned Murder
O Organized Crimes
p Protected Witness
p International Terrorist
K Domestic Terrorist
K Gang Members
K Significant Criminal History
E Multiple Defendants
0 Death Penalty Case
Sex Offender:
0 Arrest
0 Registered
Criminal History (Select from dropdown menu or type offense below)
0 Conviction
p Registration Violation
Arrest (4)
+ Add History
Conviction (It)
NONE
Remarks (e.g., name of gang or criminal organization, etc.):
p Money Launderer
0 Kingpin
INTERNET SOURCE
0 Violent Offender
Internet Source
Remarks (e.g., email address, website address, username, etc.)
NOTICE TO ARRESTING AGENTS: As a courtesy, the USMS may temporarily hold an arrestee received by non-USMS
personnel in the cellblock until the arresting agent(s) make arrangements for the prisoner's initial appearance before a United States
Magistrate. A prisoner remains the responsibility of the arresting agency until remanded to the custody of the USMS by the courts.
When a courtesy hold is allowed by the USMS to be housed in a USMS cellblock, a minimum of one agent from the arresting
agency must be available to respond to the cellblock in order to address any issues with their prisoner (e.g., medical, disciplinary). If
the arresting agency refuses to comply with USMS procedures, the courtesy hold may be refused. Meals are not provided by the
USMS, and remain the responsibility of the arresting agent(s).
For Arresting Officer Only
K USM-312 (Personal History of Defendant)
K Medical clearance (from licensed physician), if necessary
K Copy of Arrest Warrant, if issued
0
Copy of Complaint, Information, or Indictment, if completed
El Copy of Detainer(s), if issued
O Copy of Writ, if applicable
K Correctional facility discharge papers, if applicable
K Correctional facility prisoner receipt, if applicable
O Correctional facility medical summary, if applicable
Prepared By - Name:
Agency: FBI/NYPD
Cell Phone:
For USMS Personnel Only
o
Confirm all arresting agent documentation is completed and
inserted into prisoner's file
K USM-312 (Personal History of Defendant) - reviewed,
signed and dated by intake DUSM/DEO
K USM-552 (Prisoner Medical Records Release Form) -
completed, signed and dated by intake DUSM/DEO
K USM-I8 (Federal Prisoner Property Receipt) - completed,
signed and dated by intake DUSM/DEO
K USM-40/4 I (Prisoner Remand) - inserted into prisoner's file
K USM-130 (Prisoner Custody Alert Notice), if applicable -
inserted into prisoner's file
K FD-249 (Fingerprint Card) - printed and inserted into
prisoner's file
K Prisoner Photograph (from Booking Package) printed and
inserted into prisoner's file
Reviewed By:
Badge #:
Date:
U/LES
Page 3 of 3
Form VSM-312
Rev. 11/17
EFTA02728224
U.S. Department of Justice
United States Marshals Service
FEDERAL PRISONER'S PROPERTY RECEIPT
(Instructions on Reverse)
ITEMS RECEIVED:
CELLBLOCK
INMATE NAME:
MICHAEL THOMAS
MDC BROOKLYN
11/19/2019
Original (White) - To Committing Officer
Duplicate (Yellow) - To Jailer
Triplicate (Blue) - To Prisoner
Quadruplicate (White) - Extra
FORM USM-I8
(Rev 4/85)
Automated 01/01
EFTA02728225
INSTRUCTIONS
I. This Federal Prisoners Property Receipt (Form USM-18) should be prepared in quadruplicate. Copies should be distributed
as directed on the last line of each copy
Original (White) - To Committing Officer
Duplicate (Yellow) - To Jailer
Triplicate (Blue)- To Prisoner
Quadruplicate (White) - Extra
2. When a Federal prisoner is placed in a non-federal institution by a U.S, marshal, a deputy marshal, or other employee of the
marshal, all spaces above the double lines should be filled in and the receiving officer should sign in the space provided, a-,
evidence of the receipt of the prisoner's ro err Co i should then be distributed as set forth above.
3. When a prisoner is released. the last two boxes on the jailer's copy will be filled in as evidence of the jailers return of the
Property.
4. If, while in jail, the prisoner is allowed to spend or otherwise dispose of any money or other property listed, that fact should
be noted on the jailer's copy over the prisoner's signature.
5. If a prisoner is to be released to someone other than the committing officer, the original of the receipt should be attached to
the commitment. removal, or other papers, for delivery to the marshal to whom the prisoner will be released.
EFTA02728226
United States Marshals Service (USMS)
INSTRUCTIONS: Section I is to be completed by the USMS Intake Officer. Sections II & III are to be
completed by the prisoner. Section II may be completed by the USMS Intake Officer if the prisoner is unable
or unwilling, but Section III must be signed by the prisoner. If prisoner refuses to sign, note that in the
signature block. All refusals should be immediately reported to the Office of Interagency Medical Services,
Prisoner Services Division. The completed Form USM-552 is to be retained in the prisoner's files.
Section I - USMS Prisoner Information
I. Prisoner
Ilk
Name (Last, First, MI)
t44 C
Oil I c
2. USMS Prisoner
3. District Name
gPt4t1
s
4. District II
5. Ci stodrte
tt tel
(Mo/Day/Yr)
1409
Section II - Prisoner Personal Data And Medical Information
6. Date of Birt (M /Day/Yr)
7. Social Security No.
8. Medical Insurance Information
A) Insurance Company Name
B) Policy Number
C) Medicare /Medicaid Coverage?
K Yes
K No
9. Name of Your Physician
10, Phone Number
)
Section DI - Medical Consent And Records Release
I certify that the information I have provided above is true to the best of my knowledge.
I hereby authorize the United States Marshals Service to request, review, and have access to all medical records of care provided to
me during the time that I am in the custody of that agency, and to all other medical records deemed necessary for the purposes of
providing me with appropriate medical care, adjudicating medical bills for health care services provided to me while in the custody
of the United States Marshals Service, and for infectious disease clearances.
Signature of Prisoner
Date
Signature of USMS Intake Officer
Date
Original—Prisoner File
Copy to District File
Copy Upon Transfer
Form USM-552
Est 998
EFTA02728227
Message Detail
Additional Inquiry Response
ORI: NYFBINY00
Federal Bureau of Investigation - New York
New York State Division of Criminal Justice Services
Alfred E. Smith Building, 80 South Swan St.
Albany, New York 12210. Te
Michael C.Green, Executive Deputy Commissioner of the
ivision o
nminal Justice Services
III Information 11
The following information is provided in response to your request for a III search from the State of New
Jersey based on:
FBI number:
258477D9
Purpose Code:
ATN/GREENES3
SID/NJ240238E
OF
PERSON WHO IS
SOLELY TO
BE
POSSIBLE
ORDERS,
THIS RECORD SHALL BE DESTROYED *IMMEDIATELY* AFTER IT HAS SERVED
ITS
OR STATE
INFORMATION
IS
INFORMATION
EFTA02728228
STATE ID NO. 240238E
11/18/2019
FBI NO. 25847JD9
DATE REQUESTED.
RECEIVING AGENCY: NYFBINY00 U.S. CITIZEN: YES
SINGLE STATE
AFIS NO:
STATUS:
NOT REQUIRED
LAST REPORTED ADDRESS/DATE : 05/06/2019
III:
DNA SAMPLE
COLLECTION
02/11/1978
*************************** ARREST 001 PRE-TRIAL INTERVENTION
*******
*******
ARRESTED 06/11/2010
AGENCY CASE NO:
AGENCY: NJ0201200
PLAINFIELD PD
NAME USED:
DOB USED:
OFFENSE DATE: 06/11/2010
UNION
001 CNT 2C:12-1B(7)
001 CNT 2C:13-2A
001 CNT 2C:17-3A(1)
001 CNT 2C:33-4
HARASSMENT
001 CNT 2C:39-4A
DOMESTIC VIOLENCE'
42694
SUMMONS/WARRANT
AOC NUMBER: UNN10002235-
001
EFTA02728229
NO: W 20100010592012
09/19/2011
AGENCY: NJ020081J
001 CNT: 2C:12-1B(7)
001 CNT: 2C:13-2A
RISK OF S
001 CNT: 2C:39-4A
PURPOSE
SUMMONS/WARRANT
001
NO: W 20100010602012
09/19/2011
AGENCY: NJ020081J
001 CNT: 2C:17-3A(1)
DAMAGE PROPE
DEG: 0
AGG ASSAULT-
DEG::O
• CRIMINAL RESTRAINT -
DEG: 0
AOC NUMBER: UNN10002235-
DEG: 0
001 CNT: 2C:33-4A
DEG: 0
MANNER TO C
DATE: 09/29/2010
COURT: NJ020043J
DIVER PROGRM TRM12M
150
AMOUNT ASSESSED $
****************************************************************
********
****************************************************************
********
PRE-TRIAL INTERVENTION: 001
EFTA02728230
CONDITIONAL DISCHARGE: 000
INDICTABLE CONVICTIONS: 000
VIOLATION OF PROBATION: 000
REPORTED
DISPOSITION
COURT LISTED ON
BE DIRECTED
END OF RECORD
80 South Swan St.
Albany, New York 12210. Tel:E
.JS
Michael C.Green, Executive Deputy Commissioner of the NYS Division of Criminal Justice Services
o III Information *
The following information is provided in response to your request for a search of the DI based on:
Name:
THOMAS, MICHAEL
Sex:
Unknown
Race:
Unknown
Date of Birth:
Purpose Code:
NYFBINY00
THE
SERI
RACE HR.
ATN/GREENES3
NAME
FBI NO.
INQUIRY DATE
411984XA8
2019/11/18
BIRTH PLACE
PATTERN CLASS
EFTA02728231
ALIAS NAMES
WILKES,THOMAS
WILKIE,THOMAS
SCARS-MARKS-
•
TATTOOS
SOCIAL SECURITY
WILKIE,MICHAEL
WILKIE,THOMAS M
IDENTIFICATION DATA UPDATED 2019/05/15
FOLLOWING:
END - 1ST NCIC III RECORD OF MULTIPLE RESPONSE
NAME
FBI NO.
INQUIRY DATE
25847JD9
2019/11/18
BIRTH PLACE
PATTERN CLASS
ALIAS NAMES
SCARS-MARKS-
TATTOOS
IDENTIFICATION DATA UPDATED 2019/06/13
EFTA02728232
FOLLOWING:
NEW JERSEY
- STATE ID/NJ240238E
IDENTIFICATION
END
EFTA02728233
U.S. Department of Justice
United States Marshals Service
Personal History of Defendant
Taken into Federal custody by the following:
•
Street Arrest (not from a correctional/detention facility)
K Custodial Arrest (from a correctional/detention facility)
K Writ Used (Must provide copy of writ)
K Prior Federal Arrest or Safekeeper - Register #:
K Safekeeper Location:
RIOCRAFulcAL INFORMATION
Last Name: NOEL
City of Birth:
State/Coun ry of Birth:
Citizenship USA - NATURALIZE
First Name: TOVA
Middle Name:
FBI #:
State ID#:
Alien #:
SSN:
Resident Address/City/State/ZIP:
Home Phone:
Agency: FBI
Agent Last Name:
First Name:
Agent Phone #:
Arrest Date: 11/19/2019
Marital Status: Single
Agency ORI: NYFBINY00
Location/Facility of Arrest: 290 BROADWAY FBI NY
Court Docket #:
CR
AUSA(s) Assigned:
Charge Description
Title/Code
18 USC
1001
18
USC
371
Known Detainers/Warrants:
N K Y Agency:
(Must provide a copy of any detainers)
U/LES
Page 1 of 3
Form USM-312
Rev. 11/17
EFTA02728234
Security Cautions:
K Current or former military
K Current or former public official
K Eligible for diplomatic immunity
K Threat to witness (Describe below)
Remarks:
ALIAS Last Name
ALIAS First, MI
El Current or former LE/corrections
K Assault on LE/corrections
K Leadership role
K CI (Describe below)
Remark
K Current or former intelligence
K SAM subject or candidate
K Separation needs (Describe below)
❑'
Other (Describe below)
Date of Birth
VEHICLES
Relationship
Co-Defendant
Last Name
Scar/Markaattoo (Specify)
Vehicle
Year
Make
LICENSES
License Number
Miscellaneous Number
OCCUPATIONS
Location
MICHAEL
Color(s)
License State
Register #
State Driver's License
Resident Address, City, State,
ZIP Code
Description
Vehicle Style
Type (Select from dropdown menu or type below)
Employment Address: 150 PARK ROW NEW YORK NY
Start Date:
End Date:
Bank Name
Branch
Rank
Account Type
Entry
Date
State and
Plate #
Phone
Registration
Date
VIN
Remarks (e.g„ Issuing State or Country, etc.)
Point of Contact:
Account #
Discharge
Date
Discharge Type
REMARKS
Phone:
Branch Address
Occupation: BOP CORRECTIONS OFFICER
Company/Employer Name: FEDERAL BOP
Phone #
Military Occupation
Remarks
Additional Information/Remarks/Continuation:
U/LES
Page 2 of 3
Form USM-312
Rev. 11/17
EFTA02728235
PROFILE
Defendant Risks: 'Requires remarks below
K Escapee
K Organized Crime•
K International Terrorist
K Gang Member'
CE Multiple Defendants
K Planned Murder
K Protected Witness
K Domestic Terrorist
K Significant Criminal History
K Death Penalty Case
Sex Offender
K Arrest
K Registered
K Conviction
K Registration Violation
+ Add piston>
Criminal History (Select from dropdown menu or type offense below)
Arrest (#)
Conviction (#)
NONE
Remarks (e.g., name of gang or criminal organization, etc.):
K Money Launderer
K Kingpin
INTERNET SOURCE
K Violent Offender
Internet Source
Remarks (e.g., email address, website address, username, etc.)
NOTICE TO ARRESTING AGENTS: As a courtesy, the USMS may temporarily hold an arrestee received by non-USMS
personnel in the cellblock until the arresting agent(s) make arrangements for the prisoner's initial appearance before a United States
Magistrate. A prisoner remains the responsibility of the arresting agency until remanded to the custody of the USMS by the courts.
When a courtesy bold is allowed by the USMS to be housed in a USMS cellblock, a minimum of one agent from the arresting
agency must be available to respond to the cellblock in order to address any issues with their prisoner (e.g., medical, disciplinary). If
the arresting agency refuses to comply with USMS procedures, the courtesy hold may be refused. Meals are not provided by the
USMS, and remain the responsibility of the arresting agent(s).
For Arresting Officer Only
K USM-312 (Personal History of Defendant)
K Medical clearance (from licensed physician), if necessary
K Copy of Arrest Warrant, if issued
K Copy of Complaint, Information, or Indictment, if completed
K Copy of Detainer(s), if issued
K Copy of Writ, if applicable
K Correctional facility discharge papers, if applicable
K Correctional facility prisoner receipt, if applicable
K Correctional facility medical summary, if applicable
Prepared By - Name:
Agency: FBI/NYPD
Cell Phone:
For USMS Personnel Only
K Confirm all arresting agent documentation is completed and
inserted into prisoner's file
K USM-312 (Personal History of Defendant) - reviewed
signed and dated by intake DUSM/DEO
K USM-552 (Prisoner Medical Records Release Form) -
completed signed and dated by intake DUSM/DEO
K USM-18 (Federal Prisoner Property Receipt) - completed
signed and dated by intake DUSM/DEO
K USM-40/41 (Prisoner Remand) - inserted into prisoner's file
K USM-130 (Prisoner Custody Alert Notice), if applicable -
inserted into prisoner's file
K FD-249 (Fingerprint Card) - printed and inserted into
prisoner's file
K Prisoner Photograph (from Booking Package) - printed and
inserted into prisoner's file
Reviewed By:
Badge 0:
Date:
U/LES
Page 3 of 3
Form USM-312
Rev. 11/17
EFTA02728236
U.S. Department of Justice
United States Marshals Service
FEDERAL PRISONER'S PROPERTY RECEIPT
(Instructions on Reverse)
ITEMS RECEIVED:
CELLBLOCK
INMATE NAME:
TOVA NOEL
MDC BROOKLYN
11/19/2019
Original (White) - To Committing Officer
Duplicate (Yellow) - To Jailer
Triplicate (Blue) - To Prisoner
Quadruplicate (White) - Extra
FORM USM•l8
(Rev 4/85)
Automated 01/01
EFTA02728237
INSTRUCTIONS
1. This Federal Prisoner's Property Receipt (Form USM-18) should be prepared in quadruplicate. Copies should be distributed
as directed on the last line of each copy
Original (White) - To Committing Officer
Duplicate (Yellow) - To Jailer
Triplicate (Blue) - To Prisoner
Quadruplicate (White) - Extra
2. When a Federal prisoner is placed in a non-federal institution by a U.S, marshal, a deputy marshal, or other employee of the
marshal, all spaces above the double lines should be filled in and the receiving officer should sign in the space provided, a-,
evidence of the receipt of the prisoner's ro ert Co i should then be distributed as set forth above.
3. When a prisoner is released. the last two boxes on the jailer's copy will be filled in as evidence of the jailer's return of the
property.
4. If, while in jail, the prisoner is allowed to spend or otherwise dispose of any money or other property listed, that fact should
be noted on the jailer's copy over the prisoner's signature.
5. If a prisoner is to be released to someone other than the committing officer, the original of the receipt should be attached to
the commitment. removal, or other papers, for delivery to the marshal to whom the prisoner will be released.
EFTA02728238
United States Marshals Service (USMS)
INSTRUCTIONS: Section I is to be completed by the USMS Intake Officer. Sections II & III are to be
completed by the prisoner. Section II may be completed by the USMS Intake Officer if the prisoner is unable
or unwilling, but Section III must be signed by the prisoner. If prisoner refuses to sign, note that in the
signature block. All refusals should be immediately reported to the Office of Interagency Medical Services,
Prisoner Services Division. The completed Form USM-552 is to be retained in the prisoner's files.
Section I - USMS Prisoner Information
I. Prisoner Name (Last, First, MI)
tOEL
3. District Name
4. District #
2. USMS Prisoner
5. Custody Date (Mo/DayNr)
fig 11 ,019
Section II - Prisoner Personal Data And Medical Information
6. D
7. Social Sec rity No.
8. Me Ica Insurance Information
A) Insurance Company Name
B) Policy Number
C) Medicare /Medicaid Coverage?
K Yes
K No
9. Name of Your Physician
10. Phone Number
(
)
Section III - Medical Consent And Records Release
I certify that the information I have provided above is true to the best of my knowledge.
I hereby authorize the United States Marshals Service to request, review, and havd access to all medical records of care provided to
me during the time that I am in the custody of that agency, and to all other medical records deemed necessary for the purposes of
providing me with appropriate medical care, adjudicating medical bills for health care services provided to me while in the custody
of the United States Marshals Service, and for infectious disease clearances.
Signature of Prisoner
Date
Signature of USMS Intake Officer
Date
Original--Prisoner File
Copy to District File
Copy Upon Transfer
Fenn USN-532
Est. 6/98
EFTA02728239
Civil Image
Date January 13, 2015
Repository Inquiry
Case No:90a-ny-3151227 NYSID Number - 11672345L - CRI
New York State Division of Criminal Justice Services
Alfred E. Smith Building, 80 South Swan St.
Albany, New York 12210. Tel
Michael C.Green. Executive Deputy Commissioner of the NYS Division of Criminal Justice Services
Identification Summary Criminal History Job/License Wanted Missing
a Attention - Important Information *
See Additional Information at the bottom of this response for more banners pertaining to the criminal
history
9 Identification
Information
Name:
TOVA A NOEL
TOVA ANJANIQUE
NOEL
TOVA ANJANIQUE
TOVA A
NOELCHRISTIAN
NOELCHRISTIAN
Date of Birth:
Place of Birth :
Address:
Sex:
Race:
Ethnicity: Skin Tone:
Eye Color: Hair Color: Height:
Weight:
SSN:
NYSID#: FBI#: NCIC Classification#:
I1672345L
EFTA02728240
III Status: Status in other states unknown
US Citizen: Unknown
O NYS Criminal History Information *
There is no Criminal History Information associated with this history.
O Other History Related Information *
There is no Other History Related Information associated with this history.
O Job/License Information *
Civil Information
Type of Application: Police Department Employee
Name:
TOVA A NOEL
Date of Birth:
Ethnicity:
SSN:
Address:
Agency ID:
Date of Application:
Application Agency: NYCPD Applicant Investigation Unit
Application Number: 2217296
Type of Application:
Correction Officer
Name:
Date of Birth:
Country of Citizenship:
Ethnicity:
SSN:
Address:
Agency ID:
Date of Application:
Application Agency:
Application Number:
25626-71
Type of Application: Special Officer
Name:
Date of Birth:
SSN:
Address:
Agency ID:
NYS DOCCS Employee Investigation Unit
EFTA02728241
Date of Application: -
Application Agency: NYC Dept Citywide Administrative Srvcs-Division of City Personnel
Application Number: 993SONC
Type of Application: Local Service Applicant
Name:
Date of Birth:
SSN:
Agency ID:
Date of Application:
Application Agency: NYS Justice Center - OPWDD CBC Unit
Application Number: 17550
O Wanted Information *
There is no NYS Wanted Information associated with this history.
O Missing Person Information *
There is no NYS Missing Information associated with this history.
O Additional Information t
Caution: Identification not based on fingerprint comparison. This record was produced as the
result of an inquiry.
According to our files, this individual does not appear to have History in III. However this does not
preclude the possibility that the FBI does have a record. If you desire this information, please
submit a request directly to the FBI.
WARNING: Release of any of the information presented in this computerized Case History to
unauthorized
individuals or agencies is prohibited by federal law TITLE 42 USC 3789g(b).
This report is to be used for this one specific purpose as described in the Use and Dissemination
Agreement
your agency has on file with DCJS. Destroy after use and request an updated rap sheet for
subsequent needs.
All information presented herein is as complete as the data furnished to DCJS.
Message Detail
Additional Inquiry Response
ORI: NYFBINY00
Federal Bureau of Investigation - New York
NYSID: 11672345L
New York State Division of Criminal Justice Services
Alfred E. Smith Building, g q
0e
Albany, New York 12210. Tel
Michael C.Green, Executive Deputy Commissioner of the NYS Division of Criminal Justice Services
EFTA02728242
o Federal NCIC *
WARNING: Release of any NCIC information to unauthorized individuals or agencies,including the subject of the
data, is prohibited. Please refer to section 4.2 of the CJIS security policy and Title 28. Part 20 of the code of
Federal Regulations for the proper acess. use, and dissemination of the information contained in the NCIC
restricted and non-restricted files.
The following information is provided in response to your request for a search of the NCIC - Protection
Order File based on:
Name:
Sex:
Race:
Date of Birth:
Social Security number:
NYFBINY00
NOEL, TOVA
*****WARNING - THE FOLLOWING IS AN EXPIRED NCIC PROTECTION ORDER
RECORD. DO NOT
ENTERING
AGENCY TO CONFIRM STATUS AND TERMS OF PROTECTION ORDER*****
ORI/CA0194100 NAM
SEX II RACill
DOB
HGT
WGT
EYEIIIIIHAI
PNO
BRD
ISD
EXP,
PPN
PSX/IIIPPB
PCO/O1 - THE SUBJECT IS RESTRAINED
ABUSING,
PERSON AND/OR
OCA/NQ023221
LEGAL AND
DV140 FOR DATES
TAKE ALL
SURRENDER OF
MIS/FIREAMRS SET FOR 11232016 AT 1030AM IN DEPT 14
DNA/N
ORI IS
PC0/05 - THE SUBJECT IS RESTRAINED FROM MAKING ANY COMMUNICATION
WITH THE
WRITTEN, OR
EFTA02728243
DAD
DNA/N
ORI IS
PCO/04 - THE SUBJECT IS REQUIRED TO STAY AWAY FROM THE
OTHER FAMILY OR
PCO/05 - THE SUBJECT IS RESTRAINED FROM MAKING ANY COMMUNICATION
WITH THE
WRITTEN, OR
WORKERS, OR
ANNOYANCE OR
PCO/06 - THE SUBJECT HAS VISITATION OR CUSTODY RIGHTS OF THE
PCO/07 - THE SUBJECT IS PROHIBITED FROM POSSESSING AND/OR
PCO/09 - THE PROTECTED PERSON IS AWARDED TEMPORARY EXCLUSIVE
CUSTODY OF THE
AKA
NIC/H406505421 DTE/20190829 1046 EDT DLU/20190829 1047 EDT
NO NCIC PROTECTION ORDER FILE RECORD SOC/204800523
Message Detail
Additional Inquiry Response
ORI: NYFBINY00
Federal Bureau of Investigation - New York
NYSID: 11672345L
New York State Division of Criminal Justice Services
Alfred E. Smith Building, 0 South Swan St
Albany, New York 12210.
Michael C.Green, Executive Deputy Commissioner of the NYS Division of Criminal Justice Services
o Federal NCIC *
WARNING: Release of any NCIC information to unauthorized individuals or agencies.including the subject of the
data, is prohibited. Please refer to section 4.2 of the CJIS security policy and Title 28, Part 20 of the code of
Federal Regulations for the proper acess, use, and dissemination of the information contained in the NCIC
restricted and non-restricted files.
EFTA02728244
WORKERS, OR
ANNOYANCE OR
PCO/06 - THE SUBJECT HAS VISITATION OR CUSTODY RIGHTS OF THE
PCO/07 - THE SUBJECT IS PROHIBITED FROM POSSESSING AND/OR
PCO/09 - THE PROTECTED PERSON IS AWARDED TEMPORARY EXCLUSIVE
CUSTODY OF THE
AKA
CLEARED 20161228 CA0194100
NIC/H938596432 DTE/20161118 1202 EST DLU/20161228 1327 EST
*****WARNING - THE FOLLOWING IS AN EXPIRED NCIC PROTECTION ORDER
RECORD. DO NOT
ENTERING
AGENCY TO CONFIRM STATUS AND TERMS OF PROTECTION ORDER*****
ORI/CA0194100 NAM
SEX. RAC/.
DOBI
HGT4IIIINGT
SVC/2 - NOT SERVED
PNO
BRD
PPN
SX4IIPPB
PC0/
- THE SUBJECT IS RESTRAINED FROM ASSAULTING, THREATENING,
ABUSING,
PERSON AND/OR
OCA/NQ023221
TO,BY
WITH CHLDRN,AS
OTHRWS,THE CRT
TO REC COMM
EFTA02728245
The following information is provided in response to your request for a search of the NCIC - Person Files
based on:
Name:
NOEL, TOVA
Sex:
Race:
Date of Birth:
Social Security number:
NYFBINY00
NO NCIC WANT S0C/204800523
NO NCIC WANT NAM/N0EL,T0VA A DOB/19880727 RAC/B SEX/F
***MESSAGE KEY QWA SEARCHES ALL NCIC PERSONS FILES WITHOUT
LIMITATIONS.
EFTA02728246
FD-34•36 (Rev: 4-11-03)
The Number
Field Office Acquiring Evidence
Serial # of Originating Document
Date Received
From
Ma
9vJA--m P0
ry and Sia)
BY
To Be Returned 0
Yes
Er--No
Receipt Given
0
Yes
Va•blo
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
Eh-Ws
0
No
Federal Taxpayer Information (FTI)
0
Yes
4B5No
Title:
Reference:
(Ceonuaksikq ErIcl0dos MIAOW
Description:
01--original notes re interview of
e$
\ IC
'S
(91Zn
gr-W\4- ek
-etlf)
/06
- Co
1440
•
EFTA02728247
is\
Bureau of Prisons
Psychology Services
Post Suicide Watch Report
"SENSITIVE BUT UNCLASSIFIED"
Inmate Name:
Reg #:
7631
Date of Birth:
01/20/1953
Sex:
M
Facility. NYM
Unit Team:
Date:
07/24/2019 09:23
Provider.
Watch Start Date:
07/23/2019 01:40
Total Time on Watch: 31 hrs 5 minutes
Watch Conducted By:
Both Inmates and staff
Current Mental Status
Level of Consciousness:
Alert and Oriented
Psychomotor Activity:
Normal
General Appearance: Normal
Behavior: Cooperative
Mood: Appropriate to Content
Thought Process: Goal Directed
Thought Content: Normal
Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeano
a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with no
and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circum
irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought di
not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. E
explicitly denied recent and current suicidal ideation, planning, and Intent. He was future-oriented and express'
commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or p
distress. He also denied thoughts of harming others.
054
Watch Stop Date:
07/24/2019 08:45
Transfered to Medical Center:
No
Risk Factors Assessed:.
This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for sel
The following STATIC risk factors were assessed to be present and Increase the inmate's risk for engaging in su
behaviors: High Profile Crime, Lack of family connections, Sex offender status
The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in
behaviors: Current physical pain, Fear for own safety
The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide
reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, V
negative, Willingness to engage in treatment
He exhibited
al rate, tone,
tantial, or
rder. He did
STEIN
a
ychological
harm.
'de related
uicide related
ble to identify
of death as
Risk Factors: Mr. EPSTEIN has a significant scar around his neck, which is now scabbing over. He reported sw Ring in this area
but denied experiencing any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident res ling In this scar.
The story he provided was vague, such that this writer challenged him a couple of times, but he insisted he was being honest about
his lapse in memory. The nature of the incident remain unclear. Mr. EPSTEIN is incarcerated for a very high profile crime with
media attention. He was recently denied ball. He also reported difficulty managing his time In the SHU. He repo ed being fearful
for his safety if he Is to return to the cell with his previous cell mate.
Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide atten
have no interest In killing myself." He explained, although his situation is "not perfect" due to his being incarcera
has "lots to do for [his] legal case." He described having a "wonderful life," to include interactions with "interestin
projects:' He said "it would be crazy" to take his life. He furthered, "I would not do that to myself." He denied fee
hopelessness, although did report being "depressed" and "unhappy' about his current legal situation. He previou
history of childhood abuse. He reported he is sleeping adequately now that he is no longer In the SHU. He appe
as he endorsed an interest in being housed in general population.
Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However, in light of his vag
regarding the incident which precipitated his placement on Suicide Watch, combined with his fear for his own saf
Generated 0724/201912:09
Bureau of Prisons - NYM
pts. He stated, "I
d, he noted he
people and
lings of
ly denied a
future-oriented
e self-report
ty, reported
Paget of 3
EFTA02728248
Inmate Name:
Reg #: 7631r054
Date of Birth:
01/20/1953
Sex:
M
Facility: NYM
Unit Team:
5
Date:
07/24/2019 09:23
Provider
difficulty managing his time in the SHU, and the high profile nature of his alleged offense, Mr. EPSTEIN will be s
Suicide Watch to Psychological Observation.
Changes In Risk Factors Assessed
Upon a review of the log book, it was Indicated Mr. EPSTEIN has been speaking to the inmate companions
having previously taught mathematics and physics. He has been observed pacing the cell as well as sleepir
and drinking within normal limits.
Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His reque:
made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer al
him a toothbrush, toothpaste, and hygiene products.
epped down from
bout
g, eating,
is were
o provided
Asked about the alleged incident which transpired yesterday resulting in his placement on Suicide Watch, M . EPSTEIN
said he is frustrated he has been placed in a "punishment cell for no reason." Specifically, Mr. EPSTEIN wa referring
to his placement in the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN sal his cell
mate was "playing with a bed sheet" and he claimed he does not recall the events thereafter. He said he re Iled eating
meat and drinking water and claimed the next event for which he has memory is his hearing himself snore a d waking
up on a stretcher.
Mr. EPSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He
id he has
"been trying to remember' and "wracking his mind." Asked if he experienced any interpersonal issues with is cell
mate, Mr. EPSTEIN described his cell mate as "agitated" and claimed his cell mate called him a "pedophile" or the first
time yesterday. His cell mate was also reportedly reading a newspaper article about Mr. EPSTEIN, which b thered him
and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEI recalled
throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked if is cell
mate ever threatened to harm him, he denied this to be the case. Asked why he told the inmate companion yesterday
his cell mate tried to kill him, while also claiming no memory of the incident, Mr. EPSTEIN again said he did of recall
the incident and further stated, "I don't know if he put it there as a Joke." Mr. EPSTEIN explained he had be n
experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, but has not
been experiencing any other acute issues other than this.
Reason for Removal from Watch.
Mr. EPSTEIN stated, "I have no interest in killing myself." He explained although his situation is "not perfect' due to his
being incarcerated, he noted he has "lots to do for [his] legal case." He described having a 'Wonderful life,"
include
interactions with "interesting people and projects." He said "It would be crazy" to take his life. He furthered, 'I would not
do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observatio rather than
in the SHU. He asked if he could remain on this status for a couple of days, he was advised his housing si ation will be
re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than i the SHU
and asked if there were a "safer" unit for him to be housed in comparison to the one where he was initially pl ced. Mr.
EPSTEIN claimed there were many MS-13 gang members on the initial unit He was advised he will be mai tained on
Psychological Observation in the near future, but his long-term housing situation will be revisited, as it is not deal for
one to remain in isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN admow edged this
information and thanked this writer for her explanation and time.
Diagnosis.
No Diagnosis, No Dx - Current
Conclusions
The Overall Acute Suicide Risk for this. Inmate is:
Low
Overall Chronic Suicide Risk for this Inmate is:
Absent
RecommendatIonn
1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation.
2. While on Psychological Observation, he will be continuously observed by Inmate Companions.
3. While on Psychological Observation, he will be seen daily by Psychology.
4. Supportive and educative interventions were provided.
5. Mr. EPSTEIN was provided novels and a request was made for his legal paperwork to be provided to him on Psychological
Generated 07/24/2019 12:09 by
Bureau of Pdsons - NYM
Page 2 of 3
EFTA02728249
fa\
Inmate Name:
Reg #:
7631t3-054
Date of Birth:
01/20/1953
Sex:
Unit Team:
5
Date:
07/24/2019 09:23
Provider:
Observation.
6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to a
constipation.
7. Mr. EPSTEIN attended a legal visit today, after having been provided a shower.
8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology.
9. The inmate was encouraged to reach out for PRN services should he experience any psychological distress.
Completed by
on 07/24/2019 12:09
Generated 07/24/2019 12:09 6
Bureau of Prisons • NYM
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Page 3 of 3
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FD-597 (Rev. 4-13-2015)
Page
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EFTA02728272
FD-597 (Rev. 4-13-2015)
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EFTA02728273
FD-597 (Rev. 4-13-2015)
Page
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- ut - 9)fDIMO
On (date) Oa as A 3 gan
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0
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(Name)
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EFTA02728274
C fq
FD-34044-11-03)
Flle Number
q
Hin — S1 5122 -7
Field Office Acquiring Evidence
Serial q of Originating Document
Date Received 51312,2.2z-
From
New Vor
(Name of Counlagabsterviente)
(Address)
ply 'SSW*
C C-1
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To Be Returned O Yes
K
No
Receipt Given O Yes
K
No
Grand Jury Material -Disseminate Only Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
El Yea
K
No
Federal Taxpayer Information (Cl)
El Yes
O
No
Title:
Reference:
ft)
(dxomankation &Weans MakTial)
Description:.
O
Original notes re intenriew of
Cirta;A 5
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filers, 5 petit:4 4 en jaly released
JO Of& :
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EFTA02728275
FD-1004
Rev. 7-7-2016
Evidence Type: O General
181 Digital
•
Drugs
0 Firearms/Weapon
NI Firearms/Other
Item ti
O Valuables
I Spedialliandlifig Instructions
. - ' -
i •Thitiomotelpf
L
Oa tio ill
O HAZMAT
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•
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9 i Sti
ef' s life
O Refrigerate
II
Printed Name/Agency:
Reason: Initial Collection
•
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lelitigtdShetbettstody.
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Reason: Ilenspcor
Relhvi)tithediCiastody
.1 Date andl
I 'Nina
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4 4
21
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Reason:li:a.
Reason: recew e tveviAs egg
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1 Diteantli
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—
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e
Signature:
•
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gime,
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3O
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Reason:
_,)91; 4-
R•r: -..
Relinquished•Custody
iDateand
Time
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I
Dateiand;
Time
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Printed Name/Agency:
/91,2)
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4
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I
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of
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Reason:
e
Reason: efitzaticr
4.,
, .
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, . . . .
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via
AeCePrediettste4Y
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Time
:
Signature:
/5 ,a;)
tri.
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Printed Nam
en
Printed Name/Agency:
Reason
Reason:
I Relihq hedicastotb,
- -
i
'
that .
F Accepted Custody
•
i
'
Datenind ,
tirde
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
.Firearm Certification by (FUSWAT) / Explosive Material Certification by (SABT):
ATF Trace Form Comple cd: U
Printed Name:
NCIC: •
Signature:
Date:
Case ID: tpcti1/4 hiy 3ist
IB:
Sox
This form is incomplete without reference to the FD-1087
Barcodc:
EFTA02728276
FD-1004
Rev.07-27-2021
Relinquished Custody
Dateand
.Time
Accepted Custody.
Date and
Time
Signature:
L-----------
Signature
tri kt4 Ili
ttt30
Printed Name/
:
Printed N
Agency:
Reason: 6 -10-tel cre
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So
Relinquished etistodyS? \r‘e catp"--.. VS ?A
Date and
Time
Accepted Custody
Date and
Time
Si ature:
Printed Name/Agency:
Reason:
etha
1:500-
Signature
Printed Name/Agency
—
"/..`ZigesC
a
Reason:
Relinquished Custod
Date and
Time
Accepted Custody
Date and
Time
Signatu
5/34:2-3
Warn
Signature:
Printed N
Agency
Printed Name/Agency:
Reason:
Y--
Reason:
Relinqu shed Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
• Signature:
Signature:
.
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
•
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
.
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
•
Relinquished Custody
Date and
Time .
Accepted Custody
.
•
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquisised•Custody
Date and
Time
Accepted Custody
"
,
Date and
Time
-
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
'
Reason:
Reason:
Relinquished Custody
1
-
Date and
Time
Acceptid Custody
' Date.and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Curt* .
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Case ID: CICA
IA
- 3 5 \ 22-1
1B:
5 .1
Barcode: ECOt tASq
l-k
This form is incomplete without reference to the FD-1087.
EFTA02728277
. ,4 FID-1004
Lev. 7-7-2016
Evident:a Type:
II General
•
Drugs
Valuables
Ill Firearms/Weapon
Item p
.
41-Digital
•
0 Firearms/Other
j SpergalklAtindMIntstractionsi
-
-
:
janitiatiacelps
:
. bittelarid: !
i 'linty
I
II HAT-MAT
0 Latents
II F0.1
Refrigerate
Signature of Seizing Individual:
Sitell?
et 3c rK
0
Recp
0 Bioliazani
Charging
•
Freeze
•
Printed Name/Agency:
ref
.
Reason: Initial Collection
•
Cthdr
Collected By:
Agency: Fs s
, RatinquIthadiCatiodjs
I
Sipatur
Printed Name/Agency:
I
;
. .
; :Datemisdl;
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.
lc
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:
;
bateignit ;
-TOM.
c/Agency:
971211c
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Reason:
To Oven
- Reason: /Ater
; telincotIt
?
hed.
I
I
II
: liatemna :
thne!
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.
'Time,
,
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Reason: ! to
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•
•
! Bat:eland :
!Virile
I AteOptedIGUstody;
;
•
''.Time
; Date
;
Signatu =
_
Printedtame/Agency:
Reason: lcritakt-iSre.7...
ty (51 6
. ..00st.,
Signature:
Printed Name/Agency:
giC.5 hi:
24.-0 em
Reason:
/WW
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I
•
!
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; DattMnd: •
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; Datemndr !
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irf0/7
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Signature:
VISA.°
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Printedlame/Agency:
Printed Nam
gency:
Reason: 1, fre,,,,L44,._
/ i
Reason: Kin-c.• M. A
,
Sbedliatotty;
!
; .Date,andt :
Time
Aceeptelteits‘dy,
-
.
:
is
; offte.ant ;
tiMe'
Signature:
ignature:
rintcd Name/Agency:
Printed Name/Agency:
Reason:
ItelinquithertCnatody
'
.:
I tinterand.:
Mita
II
I AteeptedICUSF0
•
1I pateland!!
time.
Signature
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
:Firearm certification by (Ft/SWAT) / Explosive Material Certification by (SABT):
Printed Npme:
Signature}
Date:
Case ID:
IB:
Barcode:
ATF Thee Form Comple ed:
NCIC: 0
6576-r2t)0
This form Is incomplete without reference to the FD-108.7.
EFTA02728278
Rd"'squished Custody
•
Date and
Time
Accepted Custod
Date and
Time
/a/90
I 5Ciaot
/
Printed
Signature:
Nam
Reason:
2/7
Printed Name/Agency
11:504‘
ita
Relinquished Ctistod
pate and
Accepted Custody
Date and
Time
Time
Signature:
s/ofaa Signature:
Printed Name/Agen
-e ,s_
fir,
Litton Printed Name/Agency:
Reason:
Reason:
Relinqut hed.Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Dine
Accepted Custody
'
Date and
Time
Signature:
Signature:
Printed Name/Agency:
PrintedName/Agency:
Reason:
Reason:
Relinquished Custody
Detested
Time
Accepted Custody .
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Tint
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
PrintedName/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and,
Time
Signature:
Signature:
Printed Name/Agency:
•
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
•
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason: ,
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date shd
Time
Signature:
'
Signature:,
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
casein: • ct 0 A — An— 3 Bit 2j1-1
IB:
Barcode:
E6C-16 asp
This form Is incomplete without reference to the FD-I087.
EFTA02728279
Illpillan.
(Pal)
.
.
I'
ser
:
Wednesda
:35 PM
To
(FBI)
Su jest:
: --- N LASSIFIED
I
Se 'nelCaseld:
90A-NY-3151227
e
oSentinel:
10/14/2020 5:35:00 PM '
C ssification: UNCLASSIFIED
Selit for Approval, for RECORD//Sentinel Case 90A-NY-3151227
Fror 11 .11.11
(FBI) •
Sent:
e nes
020 11:37 AM
To:
(FBI)
'
I
Cl ssification: UNCLASSIFIED
orM
can one of you upload this e-mail to the case file?
Fro
M
FBI)
ay, c
IR
Ito er
P
M
Seri
e ne
14 2020 10:24
To:
ect: -- UNCLASSIFIED
ClLssification: UNCLASSIFIED
ThiS. -mail pertains to the following case 90A-NY-3151227 1B2 through 1818, the seizing agent
Mad photocopies of the chain of custody from 181 (sarnecate number) before he relinquished
Custody to CART, therefore a continuation chain of custody will be started for the following 1B
Nu
ers listed.
Classification: UNCLASSIFIED
•
C14 siacation: UNCLASSIFIED
C14 sification: UNCLASSIFIED
EFTA02728280
6
Rev. 7-7-2016
'
FD-1004
Evidenee Type:
•
General
•
Drugs
-Digital
II Firearms/Weapon
items
g
21
•
Valuables
0 Firearms/Other
Specilltrandllitgabstamtibns:
-
Infilidatteein
li Dtithant !
!Tillie
I
M HAZMAT
•
Latents
•
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Refrigerate
Signature of Seizing Individual
3//O/it
gt3o rib%
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0
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IN
Printed Name/Agency:
p -i
•
Biohazard
0
Other
Collected
Reason: Initial Collection
By:
Agency:
Fs t
attingultamietnettti
i
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t,
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Unit
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EFTA02728281
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EFTA02728282
From:
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• ---
SIFIED
Seli1tinelCaseld:
90A-NY-3151227
Se tToSentinel:
10/14/2020 5:35:00 PM '
Cl ssification: UNCLASSIFIED
- Set for Approval for RECORD//Sentinel Case 90A-NY-3151227
Fro
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Clissification: UNCLASSIFIED
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Cl5ssaflcatlon: UNCLASSIFIED
This e-mail pertains to the following case 90A-NY-3151227182 through 1818, the seizing agent
Ma ' photocopies of the chain of custody from 1B1 (sametase number) before he relinquished
Cust dy to CART, therefore a continuation chain of custody will be started for the following 1B
Nurn ers listed.
Classification: UNCLASSIFIED
Classification: UNCLASSIFIED
Classification: UNCLASSIFIED
EFTA02728283
FD-1004
Rey, 7-7-2016
Evidence Type:
in General
O Drugs
-Digital
O Firearms/Weapon
•
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Item #
7
251
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EFTA02728284
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6
516-2.0
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EFTA02728285
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Subject:
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SenmelCaseId:
SentToSentinel:
[
Cl ssification: UNCLASSIFIED
Wednes a
•
90A-NY-3151227
10/14/2020 5:35:00 PM
•
Se t for Approval for RECORD//Sentinel Case 90A-NY-3151227
Fro
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C1-ssification: UNCLASSIFIED
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1
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of the chain of custody from 181 (same case number) before he relinquished
-mail pertains to the knowing case 90A-NY-31512271B2 through 1B18, the seizing agent
Mad
Cust
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Num oers listed.
Classification: UNCLASSIFIED
•
Classification: UNCLASSIFIED
CIA sification: UNCLASSIFIED
EFTA02728286
FD-1004
'Rev, 7-7-2016
Evidence Type:
•
General
•
Drugs
•
Firearms/Weapon
Item #
lo
Digital
D Valuables
•
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SpeCialt fandlingThstinctIonsc
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Date:
CaselD: 124---0=3/5/(9,2 7-
ATF Trace Form Comple ed: O
NCIC: O
IB:
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Barcode: C-- 6.; ( 6205
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EFTA02728287
R.IntquIshed Custody
Date and
Time
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Reason:
Relinquished Custody
Date and
Time
Accepted Custody
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Reason:
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Date and
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Accepted Custody
Date and
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Dateand
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Date and
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.
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.
Date and
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Tillie
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,
Date and
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._
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Date and
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Relinquished Custody
Date and
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.Date Mid
Time
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•
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Printed Nark/Agency:
Reason:
Reason:
Case ID:
q 0
MM—
3 IS 1-1 (1, 1
IB:
1-0
Barcode:
6: 651-62,01 ,
This form is incomplete without reference to the FD-1087.
EFTA02728288
From:
Sit:
Tost
Suliject
1
Se tinelCaseld:
SentToSentinel:
e n
,
ober 14 2020 1:35 PM
90A-NY-3151227
10/14/2020 5:35:00 PM
•
CY ssification: UNCLASSIFIED
Se t for Approval, for RECORD//Sentinel Case 90A-NY-3151227
Enz•
Serf
To(
Su
C1 ssification: UNCLASSIFIED
can one of you upload this e-mail to the case file?
cto
ne ay,
er 14, 202010:24
Su • ect — UNCLASSIFIED
/
C1 ssification:
UNCLASSIFIED
i
This. -mail pertains to the fdllowing case 90A-NY-3151227182 through 1818, the seizing agent
Made photocopies of the chain of custody from 181 (sametase number) before he relinquished
Custt dy to CART, therefore a continuation chain of custody will be started for the following 1B
Num, ers listed.
C16 sification: UNCLASSIFIED-.
C14 sifjcation: UNCLASSIFIED
Classification: UNCLASSIFIED
1
AM
EFTA02728289
• • ear s -
F13-1004
Reel 7-7-2016
•
Evidence Type:
0
General
0 Drugs
0 Firearms/Weapon
Digital
0
Valuables
0 Firearms/Other
Item #
Special' andlinglintstitti0nsi
r
InittaliRetelpt
i
;
Pinta&
Time
0 HAZtvfAT
0
Latents
0 Fat
•
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Signature of Seizing Individual:
8//° / 1?
ii: 30ribt
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0 Freeze
Printed Name/Agency:
Collection
gg
0 Biohazard
0
Other
Reason: Initial
Collected By:
Agency:
F.f3 i
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;
1i.Date,lndl1I
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'
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Printed Name/Agency:
Reason:
Reason:
Firearm Certification by (FUSWAT) / Explosive Material Certification by (SA1BT):
Printed Name:
Signature)
Date:
Case ID: TM-MY-31510W
IB:
ATF Trace Form Completed: 0
NCIC: 0
Barcode: 66.57vzo(i
This form is incomplete without reference to the FD-108.7.
EFTA02728290
Relinquishedtastody
Date and
Time
AcceptetiCus
Date and
Time
efa/Q ",
1/V/WV:.
Signature:
(5•14-
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Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date.abd
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and 1
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
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Dateand
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Reason:
keasott:
RelinquishedCustody
Date and
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Date and
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Signature:
Signature;
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Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Tiine
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
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Accepted Custody
Date abd
Time
Signature:
Signature:
Printed Name/Agency:
Printed Nanie/Agency:
Reason:
Reason:
Case ID: •
IDA- - HA- 3y≤L221
IS:
1-
Barcodc:
C .— 6 516
2 0 if
This form is incomplete wit/tout reference to theFD-1087.
EFTA02728291
FT
Se t:
Tol1111
Stiliject:
Seri
'1tinelCaseld:
Se' tToSentinel:
nesda , October 14 2020 1:35 P
: --- UNCLASSIFIED
90A-NY-3151227
10/14/2020 5:35:00 PM
•
Classification: UNCLASSIFIED
S t for Approval for RECORD//Sentinel Case 90A-NY-3151227
Cl ssification: UNCLASSIFIED
1
or
can one of you upload this e-mail to the case file?
e nes ay, October 4 20201014
:
CLASSIFIED
sification: UNCLASSIFIED
l
e
This -mail pertains to the following case 90A-NY-3151227 1B2 through IBIS, the seizing agent
Mad photocopies of the chain of custody from 181 (same case number) before he relinquished
Cust
y to CART, therefore a continuation chain of custody will be started for the following 1B
Num ers listed.
Classification: UNCLASSIFIED
C14 sification: UNCLASSIFIED
Cla sification: UNCLASSIFIED
EFTA02728292
.FD-1004
Tex., 7-7-2016
•
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EFTA02728294
To:
Se t
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SUbject:
SentinelCaseld:
Sent7oSentinel:
Classification: UNCLASSIFIED
__J
•
Sent for Approval for RECORD//Sentinel Case 90A-NY-3151227
e n
ay, October 14, 2020 1:3 PM
90A-NY-3151227
10/14/2020 5:35:00 PM '
ssification: UNCLASSIFIED
Or
can one of you upload this e-mail to the case file?
Fro
Se
To:
Su •ec
tt: -- UNCLASSIFIED •
Cltsification: UNCLASSIFIED
•
This
pertains to the f011owing case 90A-NY-3151227 1B2 through 1818, the seizing agent
Mad photocopies of the chpin of custody from 1B1 (same•case number) before he relinquished
Cust&dy to CART, therefore a continuation chain of custody will be started for the following 1B
• s
Nulers listed.
•
•
•
Classification: UNCLASSIFIED
Cie siflcation: UNCLASSIFIED
Classification: UNCLASSIFIED
1
1
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Rev, 7-7-2016
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case lo• ' ¶Ok-
31S 1 -2_7
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Barcode:
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This form is incomplete without reference to the FD-1087.
EFTA02728297
Erb
Se t:
TO.
Subject:
SeutieelCaseId:
SeritToSentinel:
October 14'
14' 2020135 PM
:
UNCLASSIFIED
90A-NY-3151227
10/14/2020 5:35:00 PM '
I
CI; ssification: UNCLASSIFIED
Sett for Approval for RECORD//Sentinel Case 90A-NY-3151227
a
cto er1
•
Classification: UNCLASSIFIED
can one of you upload this e-mail to the case file?
Sub ect: -- UNCLASSIFIED
I:
Clssification: UNCLASSIFIED
s
•
This 1e-mail pertains to the following case 90A-NY-31512271B2 through 1818, the seizing agent
Mad? photocopies of the chain of custody from 181 (sarne.case number)before he relinquished
Custbdy to CART, therefore a continuation chain of custody will be started for the following 18
Num ers listed.
Classification: UNCLASSIFIED
Cla sification: UNCLASSIFIED
Classification: UNCLASSIFIED
EFTA02728298
FD-I004
Rev, 7-7-2016
Evidenee Type:
•
General
•
Drugs
0
FirearnWWeapon
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Signature!
Date:
Case ID:
1B:
ATF Trace Form Completed: 0
NCIC: K
Barcode:_e- gc? 021
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EFTA02728299
Relinquished Custody
•
Date and
Time
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Case ID:
OA
31-51-2-1
1B:
Barcode:
E GS1 2,07
This form is incomplete without reference to the FD-1087.
EFTA02728300
ITIMM=MIM.
(NY) (FBI)
To:
Se t:
FT
Subject:
Se ItinelCaseld:
90A-NY-3151227
Sei tToSentinel:
10/14/2020 5:35:00 PM
Clpssification: UNCLASSIFIED
7
Se t for Approval for RECORD//Sentinel Case 90A-NY-3151227
(NY) (FBI)
e nesday, October 14,
2020 1:35 PM
(NY) (FBI)
Fror
L. (NY) (FBI)
Seri : Wednesday, October 14, 2020 11:37 AM
(NY) (FBI)
[email protected]>
Cl ssification: UNCLASSIFIED
Kris line or Kadie, can one of you upload this e-mail to the case file?
From
L. (NY). (FBI)
Sent Wednesday, October 14, 2020 10:24 AM
To:
(NY) (FBI)
[email protected]>
fbi.sgov,gov>
Classification: UNCLASSIFIED
•
This-mail pertains to the following case 90A-NY-3151227 182 through 1818, the seizing agent
Made photocopies of the chain of custody from 1B1 (same case number) before he relinquished
v
Custdy to CART, therefore a continuation chain of custody will be started for the following 16
Numbers listed.
sification: UNCLASSIFIED
sification: UNCLASSIFIED
.r
Cla sification: UNCLASSIFIED
EFTA02728301
'
t • `4. • t
F0-1004
a Rev: 7-7-2016
Evidence Type:
General
•
Drugs
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•
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41
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Case ID:
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IB: I
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This form Is incomplete without reference to the FD-108.7.
EFTA02728302
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Date and
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Case ID: " CL0A"
31.5.19,-2- 1
1B:
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Barcode:
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This form is incomplete without reference to the FIT-1087.
EFTA02728303
I
From:
Set:
To:
Subject:
Se4itinelCaseld:
Se tToSentineI:
M. (NY) (FBI)
Wednesday, October 14, 2020 1:35 PM
IS
(NY) (FBI)
90A-NY-3151227
10/14/2020 5:35:00 PM '
CZ ssification: UNCLASSIFIED
Seftt for Approval for RECORD//Sentinel Case 90A-NY-3151227
(NY) (FBI)
(NY) (FBI) <
[email protected]>
Sub1 ect: FW: --- UNCLASSIFIED
Cllssification: UNCLASSIFIED
III,
can one of you upload this e-mail to the case file?
Frorp:
(NY) (FBI)
Ser.& Wednesday, October 14, 2020 10:24 AM
To:
FBI) <
@fbi.sgov.gov>;
(NY) (FBI)
ClaL sification: UNCLASSIFIED
•
This e-mail pertains to the following case 90A-NY-3151227 182 through 1818, the seizing agent
;4
Meg photocopies of the chain of custody from 181 (same case number) before he relinquished
Custhdy to CART, therefore a continuation chain of custody will be started for the following 18
Nurnpers listed.
ClA sification: UNCLASSIFIED
Classification: UNCLASSIFIED
f
Cla sification: UNCLASSIFIED.
EFTA02728304
•
F0-1004
Rev' 7-7-2016
Evidence Type:
•
General
•
Drugs
•
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item #
n o,
Digital
•
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Date:
ATF Trace Form Comple ed: O
NCIC: O
Case ID:
90A, by- 31 5i Pa-q-
IB:
Barcode:
This form is Incomplete without reference to the FD-I08.7.
EFTA02728305
Relinquished Custody
Date and
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Accepted Custody
Date and
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_
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\-
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casem:. qOA 4-At 31s1111 m
Barcode:
6 : 6
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This form is incomplete without reference to the FD-1087.
EFTA02728306
di
Sere
To:
Stibject:
SenetineiCaseld:
1
Se tToSentinel:
Ctsification:
Se
(NY) (FBI)
Wednes
20 1:35 PM
NY) (FBI)
90A-NY-3 151227
10/14/2020 5:35:00 PM
UNCLASSIFIED
t for Approval for RECORD//Sentinel Case 90A-NY-3151227
From:
(NY) (FBI)
•
To:
NY) (FBI)
[email protected]>
Sub ect: FW: --- UNCLASSIFIED
1
Cl ssification: UNCLASSIFIED
Kris Me or Kadie, can one of you upload this e-mail to the case file?
(FBI)
Sent:
e nes a October N, 2020 10:24 AM
To:
(NY) (FBI) <==tfbi.sgov.gov>;
<
fbi.sgov.gov>
Sub) ct: -- UNCLASSIFIED
is
Cla sification: UNCLASSIFIED
r-
(NY) (FBI);
This -mail pertains to the f011owing case 90A-NY-3151227182 through 1818, the seizing agent
Mao photocopies of the chain of custody from 1B1 (same.case number) before he relinquished
Cust dy to CART, therefore a continuation chain of custody will be started for the following 1B
Num ers listed.
C14 sification: UNCLASSIFIED
Classification: UNCLASSIFIED
I
Cle*sification: UNCLASSIFIED
EFTA02728307
FD-1004
Rev. 7-7-2016
Evidence Type:
•
General
•
Drugs
•
Firearms/Weapon
Item At
ri
Digital
•
Valuables
•
Firearms/Other
Special
andlinglitstructions
II
initialleceip
Tiine
• HAZ,MAT
•
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0 FGJ
Signature of Seizing Individual:
8//0/19
It'3op,v1/4
0
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•
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•
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Printed Mime:
Signature]
Date:
Case ID: 04-M 315/?a7.
I B:
17 -
Barcode:
ATP Trace Form Comple ed: 0
NCIC: 0
This form is Incomplete without reference to the FD-I08.7.
EFTA02728308
Relinquished Custody
•
Date and
lime
Accepted Custody
Date and
Time
Signature: ipill.
Col si -7q 71
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9/24/ 0
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Date and
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Date and
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Date•and
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Date and
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.
Relinquished Custody
Date and
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Accepted-Custody
Date and
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il:
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Relinquished Custody
Date and
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Date and
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Printed Name/Agency:
Reason:
Reason:
Case ID: • q 0
31-Ci-1- 1 - 1
1B:
1 : 1
Barcode:
e- 6 Sl‘ 2-20
This form is incomplete without reference to the FD-1087.
EFTA02728309
(NY) (FBI)
From:
NY) (FBI)
Sett:
Wednesday, October 14, 2020 1:35 PM
To
(NY) (FBI)
Subject:
I .
SernelCaseld:
90A-NY-3151227
SentToSentinel:
10/14/2020 5:35:00 PM '
i
C1 ssification: UNCLASSIFIED
Seit for Approval for RECORD//Sentinel Case 90A-NY-3151227
Frout
(NY) (FBI)
•
To:
(NY) (FBI) <
[email protected]>
'
Cl ssification: UNCLASSIFIED
Kristine or Kadie, can one of you upload this e-mail to the case file?
•
Fro4:
Sen..
,
,
.
M
To.
NY) (FBI) <
@tbi.sgoy.goy>;
(NY) (FBI)
<
@ isgoy,g6y>
Su je : --
CLASSIFIED
Clisification:
UNCLASSIFIED
T
This :t-mail pertains to the f011owIng case 90A-NY-3151227 1B2 through 1818, the seizing agent
Made photocopies of the chmain of custody from 1B1 (samecase number)before he relinquished
Cust dy to CART, therefore a continuation chain of custody will be started for the following 1B
Nu
ers listed.
Classification: UNCLASSIFIED
C14 sifjcation: UNCLASSIFIED
Classiftcatton: UNCLASSIFIED •
1
EFTA02728310
F0-1004
Rex: 7-7-2016
Evidenie Type:
•
General
•
Drugs
- Digital
•
Firearms/Weapon
Item H
18
tag
III Valuables
a Firearms/Other
Speciallifandlibgititsteuctions
;
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Printed Name:
Signaturei
Date:
2
Case ID: VA-NY- 3157 ??-7-
ATF Trace Form Comple ed: 0
NCIC: 0
I B: • It,
Barcode:
0217
This form is incomplete without reference to the FD-108.7.
EFTA02728311
I RelinOished Custody
Date and
Time
Accepted•Custody
.
Date and
Time
Signature:
a
l
1/2.020
Signature: MIMI
91-124
.2-7-0 2,
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•
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Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Neale/Agency:
Printed Name/Agency:
•
Reason:,
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinqtrished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Case ID:
°
3.15 V
2- 17
IB:
Bareode:
51-6 24.2
This form is incomplete without reference to the PD-l087.
EFTA02728312
--r-
From:
Set
Wedne
•
Subject:
Se1
1
90A-NY-3151227
SehtToSentinel:
10/14/2020 5:35:00 PM '
CI ssification: UNCLASSIFIED
se. t for Approval for RECORD//Sentinel Case 90A-NY-3151227
From
(NY) (FBI)
•
To:
(NY) (FBI) <
[email protected]>
UNCLASSIFIED
Cljssification: UNCLASSIFIED
Kris ine or Kadie, can one of you upload this e-mail to the case file?
I
Fro'
NY) (FBI)
Serif: Wednesday, October 14, 2020 10:24 AM
To:
NY) (FBI)
[email protected]>
(NY) (FBI)
<
@fbi.sgoy.gov>
1
sification: UNCLASSIFIED
Thij, -mail pertains to the f011owing case 90A-NY-31512271B2 through 1B18, the seizing agent
made photocopies of the chbin of custody from 1B1 (sametase number)-before he relinquished
Cus4dy to CART, therefore p continuation chain of custody will be started for the following 18
Numbers listed.
Classification: UNCLASSIFIED
Cla sification: UNCLASSIFIED
Classification: UNCLASSIFIED
EFTA02728313
•••
FD-I004
7-7-2016
Evidence Type:
O General
O Drugs
•
Firearms/Weapon
Itemis
fl Digital
III Valuables
MI Firearms/Other
Special.Handlinginstructions
.
Initial ReeeiP
Date and.
Time
.•
/
P
/ PA
/ 18 1 .#1
ID HAZMAT
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Signature of Seizing Individual:
NI Req. Charging
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M
Printed Name/Agency:
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0
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Date and;
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. Date.and.
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Relinquished Cu.stody
Date and.
Time
Accepted Custody
...
Date and
Tithe
Signature:
/437'
5/3/ap
0ten
Signature:
Printed Name/Agency.
Printed Name/Agency:
Reason:
WATre
Reason:
Firearm Certification by (FUSWAT) I Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
Case ID: 7,0A- NY- 315/8?7-
ATF Trace Form Completed: O
NCIC: K
I B: 0202
Barcode:
This form is incomplete without reference to the FD-1087.
EFTA02728314
FD-1004.A.
Rev: s7-17-016
til
E'VIDENCBCRAIN OF CUSTODY
Evidence Type:
0
General
E Drugs
0
Firearms/Weapon
Valuables
IN Firearms/Other
item
p, Digital
0
Stieeialliendlinginatametions
TuitiMPReceip
Date and
• HAZMAT
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7/O/1
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Date and
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Reason:
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•
Date-end
Time
•
Accepted Custody
Date and:
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date anti
Time
Atcepted Custody
Date and
Tire.
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Firearm CertificatiOn by (FI/SWAT) / Explosive Material Certification by (SART):
Printed Name:
Signature:
Date:
ATF Trace Form Completed: K
NCIC: 0
55- l•
Case ID:
90A 'Al )1-- I /eV
Barcode:
—
ZrGrtgra
-RD.
This form is incomplete without reference to the FD-1087.
EFTA02728315
FD-I004
Rev. 7-7:2016
Evidence Type:
0
General
0
Drugs
pit Digital
•
Valuables
III Firearms/Weapon
' temp
II Firearms/Other
SPecial.liandlintinstructions
. • InitielReeeipt
.
Date and
Time
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°°/5.
• HAZMAT
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.
FGJ
Signature of Seizing Individual:
0 Refrigerate
•
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0
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Printed Name/Agency:
I
II Biohazard
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•
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r -
Relinquished
Date and
Time
Accepted•CUstody
Date and
. Time
.
Signature:
53. /k 1
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Date and
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.f.
Date and
Tim
Signature:
62
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Relinquished C
ody
•
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Date and •
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Reason: g e‘,„be
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Signature:
fiii,
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Printed Name/Agency:
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Reason:
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RelinquishedCush:4y
Date and
Time
Ateepttd,Ctestody
.
Dateand
. Time
Signature:
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Printed Name/Agency.
43f
Printed Name/Agency:
Reason: partYltlfrielt-
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Reason:
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SART):
Printed Name:
Signature:
Date:
ATF Trace Form Completed: LI
NCIC: 0
Case ID: gOA
IS: __QW
BarcWe:
C65 -1C2J)z
41
This form is incomplete without reference to the FD-1087.
EFTA02728316
•
FD 1 1.064
Rev. 10-13-2020
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
'
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
-
Printed Name/Agency:
Reason:
Reason:
•
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
.
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
•
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Timc
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
•
Reason:
.
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
.
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
.
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
•
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Case ID:
B:
Barcode:
This form is incomplete without reference to the FD-1087.
EFTA02728317
•
a
fp- I 64 .
'411-1
Rev. 7-7-2016
FEDERAL BUREAU OF INVESTIGATION'
Evidence Type: O General
f
Digital
O
•
Drugs
O Firearms/Weapon
Valuables
II Firearms/Other
Item #
SPeciallfandlintInstructions
Initial-Receipt
Date and
Ti
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ie
/P. /
O
M
M
O
HAZMAT
O Latents
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Biohazard
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Signature of Seizing Individual:
19
Printed Name/Agency:
a
Reason: Initial Collection
\9 :te
s
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Agency:
Relinquished'
Date and
Ti e
Accepted Custody
Date and
Time
Signature:
/c//9 Signature:
CE/24/2?
z : 2Ofist
Printed Name/Agency:
Printed N e/
envy:
Reason: Cherc ?J7,
747).0- 4 5 -e
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/
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Relinquished Custo
Date and
Time
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Date and
Tim
9 A 0
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Signature:
I yp
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Reason:
Printed Name/
my.
/
Reason:
0
V.31
_Relinquished
'
Date and
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Date and -
Tithe
Signature:
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Dattand
Time
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Date and
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smi n
Signature:
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F43 C Zeta%
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.
Reason: ket,,v,„ A c„,
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Reason: f li esse..4 07 P iiix 57-c
Relinquished Custody
Date and
Time
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Date and.
Time
4M
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Signature:
Signature:
3/4
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Printed Name/Agenc
Printed Name/Agency
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L
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Relinquished Custody
Date and
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Date and
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Signature:
5/3/e7Q
Signature:
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rag: 0463 O1
Printed Name/Agency:
Reason:
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011/4133-•
Firearm Certification by (Fl/SWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
ATF Trace Form Completed: U
NCIC: O
Case ID:
7M- AIY- N5Ang-
1B:
A 5'
Barcode:
1 6 51-5 203
This form Is incomplete without reference to the FA-108Z
EFTA02728318
4
FD-1004
Rev. 10-13-2020
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
.
Signature:
Printed Name/Agency:
Printed Name/Agency:
•
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:,
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
.
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
•
Reason:
Reason:
•
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency: '
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
•
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
•
Reason:
•
Relinquished Custody
Date and
Time
Accepted Custody
Dam tee and
Ti
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Narne/Agertcy:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
'
Date and
Time
Signature
Signature:
Printed Name/Agency:
Printed Name/Agency:
'
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
•
Date and
Time
Signature:
Signature:
• Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Case ID:
1B:
Barcode:
This form is incomplete without reference to the FD-108Z
EFTA02728319
•
FQ-1004 - -
a.
Rev. 7-7-2016
FEDERAL BUREAU OF INVES'T'IGATION'
Evidence Type:
•
General
O Drugs
Valuables
O FireannsfWeapon
X Firearms/Other
Hem p
Fa Digital
•
SPecialHandling Instructions
- Initial Receipt
• Dattand
Time
9 / 1PA 7
00p
O HAZMAT
•
Latents
IN Fal
Signature of Seizing Individual:
O Req. Charging
•
Freeze
•
Refrigerate
Printed Name/Agency:
Initial
II Biohazard
Reason:
Collection
O Other
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Relinquish • =-^- •
' Patten& - Accepted Custody
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,
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Date and
11
Reason:
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y
Date and
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Signature:
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•
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ca if 17
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Vf9719
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Reason: 7g4/SaesyL...
Reason: 74,171,1n/ 0
Relinquished Custody
Date•and
Time
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Pe.. &'t Et 711.6 2.O2o ~-f 26j
Date-and.
IlFg,e..
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Reason: i?oftec„.
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Dateend.
Time
144
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Accepted Custody
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Printed Name/Agency:
Date and
Time
07
/AO
Printed Name/Agency:
Reason:
Reason:n
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Date and
Time
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. Tiateand
• Time
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Printed Name/Agency
Reas" :00PCY160011- 6)
44
-
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Signature:
on-ya--
Printed Name/Agency:
Reason:
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SART):
Printed Name:
Signature:
Date:
Case ID: /th e( NY — 3/5/0
2;7'
ATF Trace Form Completed: O
NCIC: O
Barcode:
C
L 5 .1. 5 21)(1
This form is incomplete without reference to the ED-1087.
EFTA02728320
FD-1004
Rev..2-7-2016
Evidence Type:
0
General
ar Digital
SPeciallandling.Instructions
O Drugs
O Valuables
O Firearms/Weapon
O Firearms/Other
K HAZMAT
0
Latents
0
FG1
O Req. Charging
K Freeze
0
Refrigerate
O Biohazard
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Relinquished
Signature.
Printed N
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Signature:
Printed Name/Agency
Signature:
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Reason: 71,40SMI.,
Sigr
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Printed Name/Agency:AMI
PI
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Reason: ads , A„ or A F. e -A frn.
Relinquished Custody
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Printed Name/Agency:
Relinquished Custod
Signature:(
Printed Name/Agency
Item
Signature of Seizing Individual:
Printed Name/Agency:
Reason: In
Collected
Agency:
if /is
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bate and
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5/3/ap
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Accepted Custody
Signature:
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e/Agen
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Printed Name/Agency:
Reason:Tftessr.
Accepted Custody
net
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Printed Name/Agency:
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Accepted Custody
Date and
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a
4419
Date and
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Date and
ly
051.34 11
Date and
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PAC
Date and
7
• ?4?-o 142 C
Signature
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Reason:
ATF Trace Form Completed: 0
NCIC: 0
Firearm Certification by (FUSWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
Datc.rind
Time
/294'
/09 a 4)
Case 1D. 90/- NY- 315/
IS: 0
Barcode: E6S152-0S
This frm is incomplete without reference to the FD-I087.
EFTA02728321
. , FD-1004
Rev. 7-7-2016
Evidence Type:
II General
•
Drugs
O Firearms/Weapon
Firearms/Other
Item g
CZ Digital
•
Valuables
II
Siiecialliandlinginttettettits
Initi#14teteipt
Dateand
Time
.
O HAZMAT
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0
FGJ
Signature of Seizing Individual:
a
i
1
: a9
E Req. Charging
O Freeze
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Printed Name/Agency:
M Biohazard
Reason: Initial Collection
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.r
-
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Date and
1-
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Signature
i/
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Printed N
e/Agency
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Signature:
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Reason:
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EFTA02728323
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FD-1004
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EFTA02728324
FD-1b04
Rev. 7-7-2016
Evidence Type:
0
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Case ID: 04-0-.31C/a7
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EFTA02728325
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EFTA02728326
• ED-1004
Rev. 7-7-2016
Evidence Type:
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ATF Trace Form Completed: O
NCIC: K
Case ID:
90A-MY- 3151‘97
1B: .0.23
Barcode: G (5. 51 S
This form is incomplete without reference to the FD-1087.
EFTA02728327
FD-1004
• • Rev. 7-7-2016
FEDERAL BUREAU OF INVESTIGATION'
Evidence Type:
MI General
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Drugs
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Case 1D: pA,/v1-315i.a27
IB:
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NCIC: K
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EFTA02728328
FD-1004
'
Rev. 7-7-2016
Evidence Type:
M General
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Signature:
Date:
Case ID:
90A
IB:
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This form is incomplete without reference to the FD-1087
ATF Trace Fonn Completed: O
NCIC: O
Barcoder
6 303 a-
EFTA02728329
'FD-1004
Rev. 7-7-2016
4, •
Evidence Type:
0
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Drugs
0 Fireanns/Weapon
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II Valuables
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Date:
Case ID: 70A-Ny-sis7a97-
IB: 35
Barcode:
ATF Trace Form Completed: 0
NCIC: 0
This form is incomplete without reference to the FD-1087.
EFTA02728330
.
FD-1004
_Rev. 7-7-2016
- •
`Evidence Type:
MI General
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Printed Name:
Signature:
Date:
Case ID:
MA
-
IB: 34
AT'F Trace Form Comple ed: 0
NCIC: K
Barcode:
6.2sci
This form Is incomplete without reference to the FD-l087.
EFTA02728331
FD-1004
Rev. 7-7-2,016
Evidence Type:
0
General
la Drugs
0
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Signature:
Date:
ATF Trace Form Comple ed: 0
NCIC: 0
Case ID: a
.
Barcode:
S.iS - /3 2
This form is incomplete without reference to the FD-1087
EFTA02728332
"
FD-1004
Rev. 7-7-2016
Evidence Type:
0 General
•
Drugs
0 Fireamis/Weapon
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Item #
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Digital
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Signature:
Date:
Case ID: r0
'• 5 (.5" / 22 7
1B:
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ATF Trace Form Comple cd: K
NCIC: K
Parent e 6-57 eazi
This Point is incomplete without reference to the PD-108.7.
EFTA02728333
it
`414
FD-1004
R0%07-27-2021
Relinquished Custody
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Time
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Reason:
Reason:
Case ID. Ci0A-PW*
151g9 .-4 -
55
Barcode: c6qqt4t3t
This form is incomplete without reference to the FD-I087.
EFTA02728334
FD-1004
Rev. 7-7-2016
Evidence Type:
General
0
Drugs
•
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Digital
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Reason:
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ATE Trace Form Comple cd: El
Printed Name:
NCIC: M
Signature:
Date:
Case ID: _SA. -NY-315 12,2,
ID:
/
Barcode:
6.2(
This form is incomplete without reference to the FD-I087
EFTA02728335
RD-1004
Rel y. 7-7-2016
Evidence Type:
•
General
0 Drugs
Valuables
0 Firearms/Weapon
•
Firearms/Other
Item p
asf Digital
0
Spetiallfandfingbistructiona
:.
•
InitierReceip
Date and
Vine
0 HAZMAT
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PrintedName/Agency:
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• . Date and !
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8 / 4 lei
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Reason:
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! Date and
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Date god
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.:: Dateand
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:
.
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A..........____
Printed Name/Agency:
Reason:
Reason:
Firearm Certification by (FUSWAT)/ Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
ATF Trace Form Completed: 0
NC1C: 0
Case ID: goA -NY-315-0aq
IB:
Barcode:
This form is incomplete without reference to the FD-1087.
EFTA02728336
Relinc2uLshed Custody
Signature:
Date and
Time
5 ght2
ii: 504...
Accepted Custod
Signature
Printed N
Date and
Time
a c?
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Printed Name/A
Reason:
GIA-
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Relinquished Custody
Date and
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Date and
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X3/9Q
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Reason: ryin
IP rrfp IC) tei:SAT6
Reason:
Relinquis ed Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
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Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
•
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
•
Reason:
eto 4 — Net — 32 Si)21
Case ID:
1B:
Barcode:
This form is incomplete without reference to the PD-1087.
Gsi 1-11
EFTA02728337
400-1004
14v. 7-7-2016
Evidence Type:
le General
Digital
ri Drugs
0
Valuables
M Firearms/Weapon
item p
0 Fireams/Other
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!i InnialirRieett
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Reason:
Reason:
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•
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AftaFtecl'ektat0dF
•
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DateMad.
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Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
.Firearm Certification by (Fl/SWAT) / Explosive Material Certification by (SART):
Printed Nitme:
Signaturei
Date:
ATF Trace Form Comple ed: K
NCIC: El
Case ID: t04-O1- 315/c22.7-
IB:
Barcode:
qvc
This form is Incomplete without reference to the FD-108.7.
EFTA02728338
Relinquished Custody
Signature:
ce, "14-
Date and
Time
si,t at
1/30%
Accepted Custody
Signature:
Printed N
Reason: riztagente,
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zero: q 0 A-
512.2-7
This form is incomplete without reference to the FD-I087.
1B:
Barcode:
E651.41.15
2_
EFTA02728339
NY) (FBI)
From:
L
(NY) (FBI)
Sent:
•
PM
To:
I)
Subject
SentinelCaseld:
90A-NY-3151227
SentToSentinel:
10/14/2020 5:35:00 PM
•
Classification: UNCLASSIFIED
Sent for Approval for RECORD//Sentinel Case 90A-NY-3151227
Fro
(NY) (FBI)
To:
Y) (FBI) <
'
Classification: UNCLASSIFIED
•
@fbi.sgoy.gov>
Kristine or Kadie, can one of you upload this e-mail to the case file?
Fro
(NY) (FBI)
Sent:
a nes ay, c o er
02010:24 AM
To:
(NY) (FBI) <1
@fbi.sgov.gov>; lignillini
(NY) (FBI)
bi.sgov.gov>
Su ject: ---
CLASSIFIED
Classification: UNCLASSIFIED
This e-mail pertains to the following case 90A-NY-3151227 1B2 through 1818, the seizing agent
Made photocopies of the chain of custody from 1B1 (same case number) before he relinquished
Custody to CART, therefore a continuation chain of custody will be started for the following 18
Numbers listed.
Classification: UNCLASSIFIED
Classification: UNCLASSIFIED
Classification: UNCLASSIFIED
EFTA02728340
TFD-1004
Revel-7-2016
Evidence Type:
0
General
0
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I
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Item #
3
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Signaturei
Date:
Case ID: 904-My- 31
.p9.027-
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NCIC: K
Barcode: E6s7
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Date and
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Reason:
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.
Case ID: ctorti - d'1-
i.s./2-2-7
1B:
3
Barcode:
/.6
This form is Incomplete without reference to the FD-1087.
EFTA02728342
(NY) (FBI)
Fro :
NY) (FBI)
Se t:
Wednesda October 14 020 1:35 PM
To.
NY) (FBI)
Sti ject:
Se kinelCaseld:
90A-NY-3151227
Se. tToSentinel:
10/14/2020 5:35:00 PM
Clrssification: UNCLASSIFIED
Sept for Approval for RECORD//Sentinel Case 90A-NY-3151227.
(NY) (FBI)
•
To
(NY) (FBI) IIIM.Ofbi.sgoy.goy>
Subect: FW: --- UNCLASSIFIED
i
Cl issification: UNCLASSIFIED
SINS is can one of you upload this e-mail to the case file?
Frolp:I.===.
(NY) (FBI)
Serie:
I e Oi
V
:es i
narraCM
• er 14, 2020 10:24 AM
M. (NY) (FBI) Siallirfbi.sgov.gov>;
(NY) (FBI)i
@fbi.sgov.gov>
•
1
sification: UNCLASSIFIED
This -mail pertains to the following case 90A-NY-3151227162 through 1818, the seizing agent
•
Made photocopies of the chain of custody from 181 (sametase number) before he relinquished I
Custtcly to CART, therefore a continuation chain of custody will be started for the following 18
Numibers listed.
Classification: UNCLASSIFIED
Classification: UNCLASSIFIED
C14sification: UNCLASSIFIED
EFTA02728343
FD-1004
Rev. 7-7-2016
Evidence Type:
0
General
21 -Digital
•
Drugs
O Firearms/Weapon
Valuables
•
Firearms/Other
item ii
•
Spetial! andlhigillstruttionr
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Signaturef
Date:
Case ID: WA-NY- 3151,2?
IB:
ATF Trace Form Comple ed: O
NCIC: O
Barcode: 66S7 C(9e7
This form is incomplete without reference to the FD-108.7.
EFTA02728344
Relhiquithedtostody
Date and
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Date And
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5p1.2.2
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.Date and
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Accepted Custody
Date and
Time
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Signature:
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Printed Name/Agency:
Reason:
Reason:
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.
Date and
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Accepted Custody
Date and
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Signantre>
Signature:
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Reason:
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Date and
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•
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Reason:
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Date and.
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Date and
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Accepted custody
Date and
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Signature:
.
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Case ID: Q 04
31- 5- 12- 2'1
IB:
This fortis is incomplete without reference to the PD-1087.
Barcode:
Ebs2 4 24
EFTA02728345
(NY) (FBI)
Frotn:
'(NY) (FBI)
To
St
/
nesday,
14, 2020 1:35 PM
NY) (FBI)
Slibject:
SegtinelCaseld:
90A-NY-3151227
SeiftToSentinel:
10/14/2020 5:35:00 PM '
Cl1t ssification:
UNCLASSIFIED
Suit for Approval for RECORD//'Sentinel Case 90A-NY-3151227
Fro?:
NY) (FBI)
To:
(NY) (FBI) <
@fbi.sgov.gov>
Sub ect: FW:
UNCLASSIFIED
ssification:
UNCLASSIFIED
can one of you upload this e-mail to the case file? '
Fro
(NY) (FBI)
Sen Wedn
14,202010:24 AM
To:
. (NY) (FBI)
[email protected]>,
<
[email protected]>
Subject
UNCLASSIFIED
Cl'ssification: UNCLASSIFIED
NY) (FBI)'
MIS e-mail pertains to the following case 90A-NY-31512271B2 through 1818, the seizing agent
Mad photocopies of the chein of custody from 1B1 (same•case number) before he relinquished
Cust • dy to CART, therefore a continuation chain of custody will be started for the following 1B
Nunters listed.
4
Classification: UNCLASSIFIED
Classification: UNCLASSIFIED
Clatsification: UNCLASSIFIED
EFTA02728346
FD-1004'
Rea, 7-7-2016
r
Evidence Type:
•
General
•
Drugs
0
Firearms/Weapon
Item I/
_Sr
all...Digital
0
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•
Firearms/Other
SPetteTandielastructionst
: bidet 10010
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• HAZMAT
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'Mara&
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.
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ATE Trace Form Completed: O
Printed Name:
NCIC: •
Signature;
_ _ .
Date:
•
.-
—
Case ID:
0 -N
151
IB: 5
Barcode: Ci
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This form is incomplete without reference to the FD-1087
EFTA02728347
•
FreiinrcAped Custody
' Date and
Time
Accepted Custody
Date and
Time
Signature:
-
"// 25 /20
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Date-and
Time
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Date and
Time
Signature:
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Reason:
Reason:
Relinquished Custody
Date and
Time
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-
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Printed Name/Agency:
Pri9ted Name/Agency:
.
.
Reason:
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Dateand
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Date and
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Printed Name/Agency:
•
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Date and
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Date and
Time
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Printed Name/Agency:
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Reason:
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Date and
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Date and
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PrinterName/Agency:
R
•
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Date and
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Date and
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' Printed Mune/Agency:
Reason:
•
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Relinquished Custody
Date and
Time
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Date And
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Signature:
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Reason:
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Date and
Time
Accepted Custody
Date and
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Signature:
Signature:
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Printed Name/Agency:
Reason:
Reason:
Case
1
- 3151.2_2,1
1B:
5
Barcode:
66 S2611,g
This form is incomplete without reference to the FD-1087.
EFTA02728348
NY) (FBI)
Fni .
Set:
To:
&lett:
Se tinelCaseld:
Se tToSentinel:
3
NY) (FBI)
1111.
October e 4, 2020 1:35 PM
INIIIMINI
(NIY) (FBI)
RE:
UNCLASSIFIED
90A-NY-3151227
10/14/2020 5:35:00 PM '
Cl ssification: UNCLASSIFIED
Se t for Approval for RECORD//Sentinel Case 90A-NY-3151227
(NY) (FBI)
•
To:
(NY) (FBI)
[email protected]>
UNCLASSIFIED
Classification: UNCLASSIFIED
can one of you upload this e-mail to the case file?
Fro :
(NY) (FBI)
Serf < Wednesda , October 14, 2020 10:24 AM
Tor
. (NY) (FBI) nefbi.sgoy.goy>
@fbi.sgoy.goV>
Sub ect:
UNCLASSIFIED
Classification:
UNCLASSIFIED
(NY) (FBI)
This -mail pertains to the fqllowing case 90A-NY-3151227182 through 1818, the seizing agent
Mad photocopies of the chbin of custody from 161 (same•case number) before he relinquished
Cust • dy to CART, therefore a continuation chain of custody will be started for the following 16
Numbers listed.
C14 sification: UNCLASSIFIED
C14sification: UNCLASSIFIED
Clatsification: UNCLASSIFIED
EFTA02728349
••• '
FD-1.004
}test, 7-7-2016
Evidence Type:
0
General
• Drugs
Valuables
• Firearms/Weapon
Item 11
Digital
•
0 Fireartns/Othcr
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eciallibndlidiabstructibm
I 'initial Receip
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Reason: :
Reason:
Firearm 3ertifieation by (FIISWAT) / Explosive Material Certification by (SABT):
Printed Ntme:
Signature1
Date:
Case ID: ~DA-iWY315 Ian
I B: _(#
Barcode:
ATF Trace Form Comple ed: K
NCIC: K
This form is incomplete without reference to the F11-1087.
EFTA02728350
Relinquished Custody
Signature:
61 ..7.-1
Date and
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.27p2
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Date and
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Accepted Custody
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• Time
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.
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Date and
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.
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Reason:
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Date and
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.
Date and
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Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
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Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Case ID: q 0 A - A-11- 3 LS 12 -1-1
IB:
Bareode:
EC C142-11"
This form is incomplete without reference to the FD-1087.
EFTA02728351
L (NY)
(FBI)
Fro
Se t:
To:
Surd:
SitinelCaseld:
Se tToSentinel:
(NY) (FBI)
Wednesda , October 14 2020 1:35 PM
(NY) (FBI)
. 90A-NY-3151227
10/14/2020 5:35:00 PM '
Cl ssification:
UNCLASSIFIED
a
Se t for Approval for RECORD/ /Sentinel Case 90A-NY-3151227
Fror
NY) (FBI)
To:
(NY) (FBI) <
UNCLASSIFIED
Clissification:
UNCLASSIFIED
@fbi.sgov.gov>
or
can one of you upload this e-mail to the case file?
Fro
L. (NY) (FBI)
Sens Wednesda
O
14, 202010:24 AM
To
(NY) (FBI)
[email protected]>
i.sgov.gov> .
Sub) ct: -- UNCLASSIFIED
is
C14 sification:
UNCLASSIFIED
(NY) (FBI)
This rail pertains to the following case 90A-NY-3151227 182 through 1818, the seizing agent
Made photocopies of the chain of custody from 181 (sametase number)'before he relinquished
Custody to CART, therefore a continuation chain of custody will be started for the following 1B
Nut ers listed.
CIA sification:
UNCLASSIFIED
Classification: UNCLASSIFIED
Sifi6ation: UNCLASSIFIED
EFTA02728352
ya-1004
'Rev. 7-7-2016
Evidence Type:
•
General
0
Drugs
0
Firearms/Weapon
•
Valuables
0
Firearms/Other
Item d
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.
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SPeciallilindlling instructions
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Tint.
-
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AcceptedCustody
Date and
:Time
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• Signature:
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Reason:
Reason:
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
ATF Trace Form Completed: 0
NCIC: K
• Case ID: _01—m! 37V±=22f__
-
IB: 3
19
Barcode:
C Os Is 251
This form is incomplete without reference to the FD-1087.
EFTA02728353
YD-1004
Rev. 7-7-2016
Evidence Type:
•
El
General
Digital
•
O
Drugs
O Firearms/Weapon
Valuables
M Firearms/Other
Item if thi cr., reitacti
•
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Special Handling Instructions
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Date and
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HAZMAT
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Signature of Seizing Individual:
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Printed Name/Agency:
/FBI
Reason: Initial Collection
Collected By: Victoria Tenpenny
Agency: FBI
Relinquished Custody
.Date and
Time
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Date and
Time
(570
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: leg
Date and
Time
Signature:
q/.01
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/
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a /7
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Accepted C
Signature:
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Date and
Time
(2(/qlii (
aa,'
Relinquished Custody
Date and
Time
Accepted Custody
Date and
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/alai
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Signature:
5/2/22.
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Printed Name:
Signature:
Date:
ATF Trace Form Completed: K
NCIC: K
Case ID: ClQ4 "At 3 6 k
1B: 45
Barcode: G 65'16 3 ct9
This form is incomplete without reference to the FD-I087.
EFTA02728354
FD-1004
Rev. 10-13-2020
i ReThiquialied Custody
..
Signature:
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912-•1/2
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Dateand
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Cage ID:
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0 19 - 3IS
1B:
1-4
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.
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.
' ' Dateand
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_
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.
Date and.
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_. - . .
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Reason:
geeson:
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Barcodc:
6
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This form is incomplete without reference to the FD-1087.
EFTA02728356
FD-1004
RevZr
ReUm:ruts
Date and
Time
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...
'
Date-and
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.
: Date and
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Reason:
•
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Case ID:
61-0/1
3 -2- 5 22,2'7 IB:
Barcode: •
G-6, 7.2-3 -iqs
This form Is incompleie without reference to the FD-1087.
EFTA02728357
F0-404
Rev.4 0-1/4.-A2
Relinquished
•
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'
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Date and
Time
Accepted Custody
Date and
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Date and
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Accepted Custody
Date and
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Date and
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Reason:
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.
_
Case ID: goer-
;ista.7,1
1B:
SD
Barcode:
6-
3
This form is incomplete without reference to the FD-1087.
EFTA02728358
FD-1004
Rev. 10-13;2020
Raiinquished •
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: .Date.and
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Printed N
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EFTA02728359
•
FD-1004
Rev,. 10-13-2020
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CI OA- — AR —
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EFTA02728360
•
FD -1004
Rev. 01-11-2021
Evidence Type:
O General
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O Drugs
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IN Valuables
Item #
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Date:
ATF Trace Form Comple ed: 0
NCIC: K
Case ID: _faa_
IB: 53
Barcode:
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This form Is incomplete without reference to the FD-1087.
EFTA02728361
FD-1004
If/EV.07-27-2021
Relinquished Custody
to and
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Date and
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Case ID: ROA- nkj -31 tc 1 29*
This form is incomplete without reference to the FD-1087.
18:
Barcode: E
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EFTA02728362
FD-1004
.07-27-2021
Relinquished Custody
D
Time
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Relinquished Custody
•
Date and
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Accepted Custody
Date and
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Case ID: ciO4
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1B:
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Barcode: EU) g 1- I LI 5-
EFTA02728363
4:04-,PD-no4
Rev.07-27-2021
Relinquished Custody
Date an
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Date and
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Printed Name/Agen
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Reason:
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Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
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Accepted Custody
•
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Reason:
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Relinquished Custody
Date and
Time
Accepted Custody
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Reason:
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Date and
Time
Accepted Custody
Date and
Time
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Relinquished Custody
Date and
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Accepted Custody
Date and
Time
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Printed Name/Agency:
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Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
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Printed Name/Agency:
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Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Casein: Ct 0641- 31616W-
1B:
CO
Barcode: ttn
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Li 0 4
This form is incomplete without reference to the FD-1087.
EFTA02728364
FD-1004
Rev.07-27-20
Relinquished Custody
Date and
Time
Ascepted Custody
ft/AA:et-A 1.--3 6 RPaC,
6
Date and
Time
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Stature:
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That
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ki 20 14
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Printed N
Reason: / 7
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,
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Date and
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Printed Name/Agency.
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
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Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
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Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
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Printed Name/Agency:
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Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
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Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
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Date and
Time
Accepted Custody
Date and
Time
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Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Barcode: G
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Case ID:
90A -MY-
t 5 ‘22.1-
IB:
JQ
This form is incomplete without reference to the FD-1087.
EFTA02728365
FD-1004
- • Rev. 7-7-2016
FEDERAL BUREAU OF INVESTIGATION'
Evidence Type:
NI General
0 Drugs
0 Firearms/Weapon - Item H
'.Digital
0 Valuables
•
Firearms/Other
Sifecialliandling.Instructions
. . .
.
InitiiiiReeeip
'
•
Dateand
Time
• HAZMAT
M Latents
•
FGJ
•
Req. Charging
0 Freeze
0 Refrigerate
0
Biohazard
0
Other
Signature of Seizing Indivi
Oh ///,
9 :0 4 )4
Printed Name/Agency:
Reason: Initial Collection
Collected By:
Agency:
,.,
Relinquished'
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Data and c
Tim
Accepted Custody
.
Date and
Time
Signature
Printed N e/Agen
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25, oc9/.
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Reason:
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Reason: 75 yn.sovee-
tc
Relinquished.Custody
•
-
' Date and
Time
-
Accepted'Custody
Date and
Time
Signature:
PrintedN me gene
514
Irs-u—,
Signature:
6-441-Q
• ,fi,0521e
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Reason: C.Amice,
Reason:
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-Data and
Time
. Act* Med•Cua-tody
Date end.
Time
Signature:
,-54349P
I ( :ISM
—
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Printed Name/Agency:
Reason:
n-4'n 7 Is
Reason:
Tiding isbed Custody
Date and
Time
• - -- •
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' Date and
Time
.
... ..
Signature:
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Printed NameJAgency:
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•
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-
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Defraud
.
Time
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_
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.
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Time
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Signature:
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Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
,
—
Date and
711.1)45.
Accepted Custody
.
.
_
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•Dete-and.
' 116!,
.
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Firearm Certification by (FUSWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
ATF Trace Form Comple ed:
NCIC: 0
Case ID: 954-it)Y-31,5/a
1B:
442
Barcode:
g 6S Is 2-6 ci
This form is incomplete without reference to the FD-10.97.
EFTA02728366
FD-340c(4-11-03)
File Number
quk-klm - 31SI2t
Field Office Acquiring Evidence
Serial it of Originating Document
Date Received
From
(Name of Conn(batonlincromvcc)
(Address)
To Be Returned O
Yes
O
No
Receipt Given O
Yes
O
No
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (c)
Federal Rules of Criminal Procedure
El
Yes
K
No
Federal Taxpayer Information (FTI)
O
Yes
O
No
Title:
Reference:
201-
(Communication Enclosing htatcrial)
Description:
O
Original notes re interview of
petfrCtiley Coet-tS cur
t3P-A011 t
1631 +16W O-ni
AO
EFTA02728367
FD-1004
Rev. 7-7-2016
Il
Evidence Type: if General
K Digital
K
K Drugs
Valuables
K Firearms/Weapon
K Firearms/Other
Item ft
Ioutgam2y0
••••••••=•••-.••••...
Special Handling Instructions
Initial Reeeip
Date and
Time
K HAZMAT
K Latents
K Req. Charging
K Freeze
K Biohazard
K Other
Relinquished Custody
K FGJ
K Refrigerate
Signature of Seizing Individual:
Printed Name/Agency:
/FAL
Reason: Initial Collection
CollectedEMin
Agency: FISI
Date and
Time
Accepted Custody
Opm
Date and
Time
Signature:
Printed Name/
Reason: To
Date and
Time
Signature:
Printed Nam
Reason: lb air Game
Accepted Custody
10'30
Relinquished Custody
Date and
Time
Signature:
Printed Name/Age
Reason: ib OCMC
Relinquished Custody
Ott
irsoki
Date and
Time
Signature:
Printed Name/Agency:
Reason:
Accepted Custody
Date and
Time
Signature:
Printed Name/Agency:
Reason:
Signature:
Printed Name/Agency:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Printed Name/Agency:
Reason:
Signature:
Printed Name/Agency:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Printed Name/Agency:
Reason:
Signature:
Printed Name/Agency:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Printed Name/Agency:
Reason:
Signature:
Printed Name/Agency:
Reason:
Firearm Certification by (FUSWAT) / Explosive Material Certification by (SAIII):
Printed Name:
Signature:
Date:
Case ID: CIOA -NI -A'S Inc
18:
St
ATF Trace Form Completed: K
NCIC: K
Barcode: gGs7 ga5C
This form is incomplete without reference to the FD-I087
EFTA02728368
FD-1004
Rev. 7-7-2016
VIP
IllIAIT
61121imil
Evidence Type:
IGeneral
0 Drugs
0 Firearms/Weapon
Digital
0
Valuables
0 Firearms/Other
item ii
2.
Special Handling Instructions
Initial Receip
Date and
Time
0 HAZMAT
•
Latents
•
FGJ
M Req. Charging
•
Freeze
0 Refrigerate
III Biohazard
•
Other
Signature of Seizing In
eiloirt
LiWitat
Printed Name/Agency:
Reason: Initial Collection
Collected By: IIIIMPIIPMa
Agency:
Relinquished Custody
Date and
Time
Accepted Custody
a
Date and
Time
Signature:
Printed Nam
841 li
IT.30AM
Signature:
It 0GME
9 04 11
toltAtit
Printed Name/
Reason:
Reason:1'D pipp
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Printed Name/Ag
Shill/
igsbem
Signature:
Printed Name/Agency:
Reason: TO 014,40
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
.
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Firearm Certification by (FUSWAT) / Explosive Material Certification by (SABT):
Printed Name:
Signature:
Date:
Case ID: cielk
31 S 12,24
1B:
SSC
ATF Trace Form Completed: 0
NCIC: K
..code: C-65( cv-4
This form Is incomplete without reference to the FD-1087.
EFTA02728369
BP-A0971
AUG 11
ECN
ITEM if
(14- 9 -0914
.
CASE ID NUMBER:
Enclose
EtriWZION OF ITEM:
in3 reel
DATE/TIME
EX FOUND:
LOCATION:
<SIGNATURE OF
)(PRINTED NAME:
DROP-BOX BY:(printed name)
FEDERAL BUREAU
with/attach to evidence)
r
infiCk ee
ca
Date 6 Time'
SUSPECT (If known)
CY\ i
i
n
pLIS
loot k
ae a
, Mas'
OF PRISONS
Witness:(printed name)
(printed name)
Date 6 Time:
Witness:(printed name)
(printed name)
Date 6 Time:
witeass:(printed name)
DISPOSITION:
( ) Hold as evidence
( )
Return to owner
(
Lab Analysis
( ) Return to finder
( )
Destroy immediately
(
FBI
( ) Other
REMARKS (condition of evidence):
RELEASED
EASED BY:
E
st
DATE/TIME;
DESTINATION;
Ezrilliiiis liniiii /3:ural
=i-=i-i-J
EVIDENCE
PDF
Prescribed by P5510
EFTA02728370
BP-A0971
AUG 11
Era #
ITEM # NYVH1S-00182
CASE ID NUMBER:
DESCRIPTION OP ITEM: Clothing Epstein was transported to outside hospital with.
(Enclose with/attach to evidence)
SUSPECT (If known) Jeffrey, Epstein#76318-154
DATE/TIME ITEM FOUND: August 10, 2019 2 10:15 AM
LOCATION: New York Presbyterian Hospital
'
PRINTED NAME:
DROP-BOX RY:(printed name)
Date fi Time-
Witness:(printed name)
(printed name)
Date i Time:
Witness:(prinied name)
(printed name)
Date & Time:
Witness: (printed name)
DISPOSITION:
( ) Hold as evidence
( ) Return to finder
( ) other
REMARKS (condition of evidence):
( )
Return to owner
( )
Destroy immediately
Lab Analysis
FBI
Derrick Mebane
naltR/TXME:
8/10/19 10:32AM
DESTINATION'
SIS Office
EVIDENCE
-ED TO:
SIS Lt T. Doctor
VP, h ci u :aOPil1
Pc311 6Pce.
302a4 art
PDF
Prescribed by PsSio
EFTA02728371
C
C-77
RD-340e(4-11-03)
Ftle Not
Field Office Acquhing Evidence
/1/6
SerialF of Originating Docmnent
Date Received
r a
. S— -. Q V
From
(Addretd)
By 4:1 Oe/
(city aodState)
IbBeReturned O Yes
O No
Receipt Given O Yes
O No
Grand Jury Matenal -Dissemtoate Only Parsatmt to Rule 6 (e)
Federal }Wesel Criminal Procedure
O Yes
O No
FedtralTexpayeanformation (FM
K
Yes
O No
Ilde:
Reference:
(CamramitlitionEndostogMArkil)
Description: O OrktnalnotesreInterviewof
5-/S
z7c56-77,6e,o-72-n
ADO
EFTA02728372
ar-
FD-1057 (Ito. 5.8.10)
UNCLASSIFIED
Electronic Commenication
Title: (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM;
CC:
Contact:
Approved By:
Drafted By: MIIMOOMMOMMONN J
Case ID If: 90A-NY-3151227
4p) UNSUB(S);
Synopsis: (U) Authorization to destroy evidence
Details:
Authorization granted to destroy Item 1B60 as this exhibit is no longer
pertinent to the above-captioned case.
••
UNCLASSIFIED
EFTA02728373
4
• O4/24.2:28 PM
FD-1087
90A-NY-3151227 - 1660
Evidence Item:
Evidence Type:
Description:
Location:
Barcode:
Digital Information
Type:
Designation:
90A-NY-3151227 — 1B60
Digital
(U) (1) Red rope containing: Two (2) Ultrium LTO6 tapes containing the archive of
MCC video images and work product under CART Submission ID 112048. Master
Copy.
E03707388 - ECR8, BRONX WAREHOUSE
E7303053 - ECR8, VS60
E7303054 - ECR8, VS60, D
E8382027
Magnetic Tape
Master Copy
-) f irri T.t".1 r,"c,ce
A\t
:
P P
C•2711 ;IA
' n?'
Batteries Charged:
Number Collected:
Collected by CART:
No
2
Yes
A
Details
Collected On:
CATS ID #.
CATS Abandonment t
Storage Location
Holding Office:
Finalized By:
Last Inventory:
Retention
Retention:
Legal Caveats
None
05/29/2024 03:15 PM FBI Seizure #:
EDT
None
None
NY- NEW YORK
None
No
Abandonment #:
Discovery Location
Area:
Specific:
Seizing Individual:
Collected By:
None
None
None
None
A
Chain of Custody
V
httpslisentinelibinelfbi/appsidesktopfinmainkase/3151227
1I2
EFTA02728374
'
FD-1004
10/13/2023
Evidence Type:
II General
0
Drugs
0
Firearms Weapon
Ammunition
Item #
131 Digital
0
Valuables
•
Special Handling Instructions
Initial Reeeip
Date and
Time
Ill HAZMAT
•
Latents
0
FOX
Printed Name/Agency:
Signature of Seizing Indi
SAPA'
305p4
0
Req. Charging
0
Freeze
0
Refrigerate
III Biohazard
Reason: Initial Collection
0
Other
Co Jetted By: IlliMill
Agency: fi35
.
Relinquished Cu
Date and
Time
Accepted Custody
Date and •
Time
Signature:
/3/A9
I: 55fril
Signature:
5 /3 1194
i :6-6-0,,-
Printed Name/
/CS;
Reason: 404,24epti
Reason:
a rge
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
101/2f/i se
/sear
Signature:
Printed Name/Age
Reason:
' • ir
CA4t-TFA- Re We__
Printed Name/Agency:
Reason:
Relinquished Custody
r er 4 d-0 4,
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
.
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Relinquished Custody
Date and
Time
Accepted Custody
Date and
Time
Signature:
Signature:
Printed Name/Agency:
Printed Name/Agency:
Reason:
Reason:
Firearm Certification by (FUSWAT) / Explosive Device Certification by (SABT):
ATF Trace Form Completed: M
Printed Name:
NCIC: •
Signature:
Explosive device safe for
ECR storage: O
Date:
Case ID:
40A-A t ...9/5/024277 —
IB:
Barcode:
E 831 9oal
This form is incomplete without reference to the FD-1087.
EFTA02728375