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Property Record Number: Property Record Number:

SK-6589 SK-6589

Anywhere Police Department


EVIDENCE CHAIN OF CUSTODY TRACKING FORM

Case Number: 98983P-FD Offense: Interceptación de datos informáticos.


Submitting Officer: (Name/ID#) Luis Pérez, ID 1061812996
Victim: Organización privada.
Suspect: Steve Vogon.
Date/Time Seized: 2020-06-23 16:48 Location of Seizure: Cauca, Popayán.

Description of Evidence
Item # Quantity Description of Item (Model, Serial #, Condition, Marks, Scratches)
I-001 1 USB con volcado de memoria de la máquina sospechosa.(Kingston
Data Traveler 2.0 2 GB).
I-002 1 USB con captura de paquetes en formato .pcap. (Kingston Data
Traveler 2.0 2 GB).
I-003 1 USB con el directorio de inicio del usuario y el mapa del sistema
(Kingston Data Traveler 2.0 2 GB)

Chain of Custody
Item # Date/Time Released by Received by Comments/Location
(Signature & ID#) (Signature & ID#)
I-001 2020-06-24 María Sivan, Luis Pérez, Se hace la entrega de
06:30 2356745842 1061812996 USB con volcado de
memoria de la
máquina sospechosa.
I-002 2020-06-24 Esteban Arteaga, Luis Pérez, Se hace la entrega de
06:35 1548632156 1061812996 USB con captura de
paquetes en
formato .pcap.
I-003 2020-06-24 Rodolfo Zúñiga, Luis Pérez, Se hace la entrega de
06:40 1852634789 1061812996 USB con el
directorio de inicio
del usuario y el
mapa del sistema.
APD_Form_#PE003_v.1 (12/2012) Page 1 of 2 pages (See back)

Technical Working Group on Biological Evidence Preservation. The Biological Evidence Preservation
Handbook: Best Practices for Evidence Handlers. U.S. Department of Commerce, National Institute of
Standards and Technology. 2013.
EVIDENCE CHAIN-OF-CUSTODY TRACKING FORM
(Continued)

Final Disposal Authority


Authorization for Disposal
Item(s) #: I-001, I-002, I-003 on this document pertaining to (suspect):Steve Vogon
is(are) no longer needed as evidence and is/are authorized for disposal by (check appropriate disposal method)
☐ Return to Owner X Auction/Destroy/Divert
Name & ID# of Authorizing Officer: Luis Pérez Signature: Luis Enrique Pérez, 1061812996 Date: 2020-06-26

Witness to Destruction of Evidence

Item(s) #: I-001, I-002, I-003 on this document were destroyed by Evidence Custodian Rodolfo Zúñiga
ID#:1852634789
in my presence on (date) 2020-06-26.
Name & ID# of Witness to destruction: Esteban Arteaga, Signature: Esteban Arteaga Date: 2020-06-26

Release to Lawful Owner


Item(s) #: N/A on this document was/were released by Evidence Custodian N/A ID#: N/A to
Name N/A
Address: N/A City: N/A State: N/A Zip Code: N/A
Telephone Number: (N/A)
Under penalty of law, I certify that I am the lawful owner of the above item(s).

Signature: N/A Date: N/A

Copy of Government-issued photo identification is attached. ☐ Yes X No


This Evidence Chain-of-Custody form is to be retained as a permanent record by the Anywhere Police Department.

APD_Form_#PE003_v.1 (12/2012) Page 2 of 2 pages (See front)

Technical Working Group on Biological Evidence Preservation. The Biological Evidence Preservation
Handbook: Best Practices for Evidence Handlers. U.S. Department of Commerce, National Institute of
Standards and Technology. 2013.

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