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EFTA00109947

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11141DENCL. PV-4ITT4" Agency (P)C-i NA --Al Item No. M -- I q-- nvitii,\Case No. Date of Collection Olitha..1914k Time of Collection !S . 2..e. Collected By i i1/4AL•r• Description of Evidence _ 1150.-}-vst /6 td Sint t.A- re &4H 4 SAr. is Location of Collection p\ c50\:4 Care caLit C gtA4t r /Syc.c_ickt 44 j / ¶ / c lIrpo of Ottemse Victim Sc- c•cf-.4 Suspect CHAIN OF CUSTODY Received Fro III By Date Time Received From By Date Time Received From By Date Time _ I EVIDENCE APRON/HEAD FORENSIC PRODUCTS - REORDER /1012 800-953-3274 I I IjIII IIII j I !inches M-19-019432 EFTA00109947