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FEDERAL BUREAU OF INVESTIGATION FOI/PA DELETED PAGE INFORMATION SHEET FOI/PA# 1246017-1
Total Deleted Page(s) = 4 Page 31 ~ b7E; Page 40 ~ Duplicate - Page 108-109 089B-TP-2886360 Sec. l; Page 41 ~ Duplicate - Page 108-109 089B-TP-2886360 Sec. l; Page 43 ~ b6; b7C;
xxxxxxxxxxxxxxxxxxxxxxxx X Deleted Page(s) X X No Duplication Fee X X For this Page X xxxxxxxxxxxxxxxxxxxxxxxx
• ~ ·.,., .. ·• .'!I ,
lAllC Re9ort for Case: 898-TP-2886360
Record Type# Acquired O,Serial # Summary Type
(U) Three (3) CDs of photos taken at 601 E
Rollins Street, Orlando, FL. One (1) original copy
and one (1) backup of original and one (1) lA 1 2013-05-2= §. working copy Physical
(U) FD-597 and Receipt for Evidence Released lA £ 2013-05-2~ 10 (from Office of the Medical Examiner, District 9) Physical.
Digital lA J 2013-05-3( 17 (U) Evidence Log Physical
Qigital lA i 2013-05-3( 17 (U) Photo Log Physical
lA ~ 2013-05-3( 17 (U) FD-597 Digital
Digital and lA §. 2013-05-3( 17 (U) Admin Log Physical
(U) Photo Log; 3 Photo DVD-Rs; FD-597; Crime Digital
lA z 2013-05-2, 18 Scene Log; Room Letters; ·ERT casebook Physical
(U) Original, Backup of Original and wo·rking
lA l! 2013-05-2, 19 Copy of Photos, Photo Log Physical
(U/ ~ A copy of an FD-26, Consent t~ Digital.
lA 2 2013-05-2: 21 Search form, signed byl I Physical lA 10 2013-05-2: Digital 21 (U) Picture ofl
Digital
lA 11 2013-05-2= 22 (U) Case # ME13-00623 case synopsis Physical lA 12 2013-06-lJ 25 (U) Total Station DVD-Rs Physical
(U) Three (3) Working copies of GDs of
photographs taken at 601 East Rollins Street, b6
lA 13 2013-06-23 27 Orlando, FL on 5/22/2013 Physical b7C (U) ~utopsy report and investigative report b7E
pertaining to the autopsy conducted on lbragim lA 14 2013-01~m 31 Todashev Digital
(U) Coe, Communication log, Notes, 7-2, 7-262,
lA 15 2013-07-lJ 35 Incoming, Tech/Admin, FTU secondary Physical lA 1§_ 2013-07-li 37 (U) Request for Autopsy Photographs Digital
(U) CD containing the photographs taken during
lA 17 2013-07-li 37 the Todashev's autopsy. Physical
(U) SKETCH OFI
ORLANDO, FL AND ORIGINAL ADMINISTRATIVE
lA 18 2013-05-2, 39 PAPERWORK. Physical
lA 19 2013-07-lE 40 (U) FD-192, 1B21 AND FD-597. Physical
(u)I I lA 20 2013-07-33 411 Physical
TODASHEV.:s 1
------- - ---- -------~-----
• ~ ., ~ • (U) ORIGINAL AND ONE COPY OF AN FD-597
lA 21 2013-05-2~ 42 RECEIPT FOR PROPERTY. Physical
lA 22 2013-08-0E 43 (U/ ~ White Paper Digital
(U) Lab# 130808005/130816006
Description of Enclosures:
Chain of Custody; Comm and Activity Log; Notes;
Instrument Print Outs, Charts, Graphs; ECS
Search Slip
lA 23 2013-09-2~ so Physical
(U) 7-2, 7-262, Tech/Admin, Incoming Letter,
lA 24 2013-10-0f 52 Notes, Coe, Corn Log Physical
lA 25 2013-10-m 55 (U) Notes of Interview Digital
(U) Lab# 131008011
Description of Enclosures:
Chain of Custody; Comm and Activity Log; Notes;
Instrument Print Outs, Charts, Graphs; ECS
Search Slip
lA 26 2013-10-3:l 61 Physical
lA 27 2013-10-2.! 62 (U) Latent Case Supporting Records Physical
lA 28" 2013-11-1~ 63 (U) Latent Case Supporting Records Physical
lA 29 2014-03-2! 64 (U) Autopsy Report Digital
TODASHEV-815
FD~340a (Rev. 1-27-03)
Item Date Filed
!A---/8' ~la:a (13
I A--!?' 7(1~/,g "
,1~•JO -~,~? I,.:;
114--'J.! !,/';1-j_ t,.'?J
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To be returned Yes No
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Disposition .
.
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TODASHEV-816
•
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FD•340 (Rev. 4-11-03)
File Number 87tJ ~,f. 'Z8'1[lo3l>c., - ff/- / 8 Field Office Acquiring Evidence _·-. .... rtt'-'-'-m ..... f~4..,__ ______________ _
Serial # of Originating Document __ 3_9 ___________________ _ Date Received o..s/"?-2/20/ 3
From ---------(=N.,..am_e_o"""r=c-on-tr""'1b-ut-o~"""'/l-nt-erv...,i-ew-e-e) __________ _
~.----------------,1 ... (-A-dd-re-ss_) _____________ _
(City and State)
By· __ s....,_ _________ .1--------------'.fo Be Returned D 'Yes· Jrl No
Receipt Given D Yes ~ No Grand Jury Material - Disseminate Only Pursuant to Rule 6 ( e) Federal Rules of Criminal Procedure
D Yes ~ No Federal Taxpayer Information (FTI)
D Yes
Title: ::c:'BR.46tNt -roMsJlev sPec.1}\(... AG2Ar;.;.I ..;...=..:..... _______ _,
1-tAV z.:z, 2..0 l3
Reference: S"es;.-c.h,c ~1 lo,bclo O,:J os[Z-"Z..{-Z...01;3 L...-----.c .... co"'J"'JJl"'IIU"'ll""IC3fflLkn Enclosing Material)
Description: D Original notes re interview of
-5i4M cfl lo rlCL;,,{o, FL
b6 b7C
TODASHEV-81 I
--'~i-:=_j_l - I~--~' ~11-~T---:-· -~-r- ............. =......__.....,......_.._......_. ............ .., - I , -- ---- --~-.......-
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_ ~l ___ l ~Cl.A.SSIFIED BY NSICG/ J86J43T30 ALL INFORMATION COR'l''AIHED b6
I I REASOlf: 1, ,t, (C) HEREIN IS UNCLASSIFIED EXCEPT b7C
'---,----,-----,------1 --~;-·1-DECI.A.SSH"Y ON: 02-26-2040 HHERE SBOKH' OTHERWISE 1: --
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.'~-~- - - '_ - ;~: __ - ~'---- !~i~~_J__J~--- -'1 I I I I I ·1 -
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.. . - . - --•--- . -- . . - . ~~"CIT A.LL IJf!'OJMI\.TION COOTAIJfl!:D -+-+--f--+--i--+--!---J.-.;--1--i-!--1-I--+---+-+--+--+-~ --+---+--+--+-BEREIJf IS ONCLASSIFIED EXCEPT •
ADMINISTRATIVE WORKSHEET PAGE ___ OF __ _
DATE ------LOCATION PERSONNEL JN'.VOLVED IN SEARCH AND THEIR RESPECTIVE DUTIES
CASE IDENTIFIER
PREPARER/ASSISTANTS
TIME AND DATE OF ARRIVAL
PERSON(S) PRESENT AT SCENE AT TIME OF ARRIVAL
'
. '" .
PERSON IN CHARGE OF SCENE PRELIMINARY SURVEY/EVIDENCE EV ALU A TIO (NOTES/OBSERVATIONS)
AT TIME OF ARRIVAL
CONTROL OF SCENE OBTAINED FROM I I
l TIME AND DATE OF CONTROL " . ! ACQUISfflON . I
I
CONDfflON OF SCENE ON ARR1V AL -(SECURED/UNSECURED)
LIGHTING CONDfflONS Ar.J"V ,.. .,k.• ,-~ SPECIAL SITUATIONS OR CONDITIONS (NOTES/OBSERVATIONS)
WEATHER CONDITIONS TTl.. 0 -1~~ ,1P SCENE CONSISTS OF (GENERAL DESCRIPTION)
.· -
. ! . • •'
.
TODASHEV-821
ADMINISTRATIVE LOG:
ADMINISTRATiVE WORKSHEET Continued
TIME PERTINENT DESCRIPTION I INFORMATION l
J:17' ;u r /! / ✓ J ~~~<:. -
:l ·.~n 1 ·1 ,..,,,,,('\,,.. ..-.1'.,-1-n c:. I I i.f ::l4 ·-\!:ti/; r ( (!)\II' A •- A.,... A"'- - f'n~ •l.., .. ,.., -:a:;.,-;::.· 1 I LI :1s-- U-z.__l/ .. '"' ...,, ~ - ~'-v,~ r_ , \no'-. •-f' 1-h.• ..S-,A
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.
.
.
PAGE ___ OF __ _
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TODASHEV-822
•
,·
C
,f
FD-340 (Rev, 4-11-03)
FileNumber 8913 'JJ?-dgg &Jior) - 111-/9 Field Office Acquiring Evidence __ -._,/__.P ________________ _ Serial# of Originating Document __ lf,._,..Q~----------------
~:: r•xed -1-Lio -~:~omm,l:,~,ew~) <'
(Address)
(City and State)
By-=E_O __ -_____________ _
To Be' Returned O Yes ff No
Receipt Give~ 0 Yes Q7;l'o Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure
0 Yes -a-No F:ederal Taxpayer Infonnation (FTI)
D Yes ;...8--No
Title:
Reference: --------(Co-mm-un-1ca-t-io_n __ E_nc-lo-~i-ng_M_a_te-na_l) ___________ _
Description: ~riginal notes 1e intc1vi~
f-b I Cf;!_ ik Fb~°il for 1±-ern I 13 ;2/ _r·
b6 b7C
. '"'
,UoASHEV-8231
_J
entinel Working Copy _. f "' -,,
l of3
Evidence Details
Case: 89B-TP-2886360 Item:
Description: (U) GLOCK HOLSTER, MODEL4~02, S/N 0702-83.
Acquired On: 05/22/2013 01: 24 AM EDT Eligible for Forfeiture: No Receipt Item #: None Special Handling: None
Hazardous Materials: None
Fireann Infonnation - Other See description
Discovery Location Area: UNK
Specific: UNK
Anticipated Disposition None on None
Storage Infonnation Holding Office: BOSTON
Collected By: !..._ ________ ...... Others: None
Flnalized By: r-i------------, Last Inventory: None
Location: E0165028 ._ ECR, BOSTON
Barcode #: E03415551
Chain of Custody
Relinquished Bt: ,..•wZo~n~o._ ______ ....,
. A~cepied By: I r , . .
Comments: (U) VIA FEDEX 5161 0611 9895
Relinquished By: I Accepted By:....,_,N,,...o_n_e _______ ___.
Comments: None
Relinqulshed By: I Accepted By: ..._ _________ ____.
Comments: (U) STORAGE
Relinqulshed By: I Accepted By: ..._ __________ __,
Comments: (U) FOR TRANSPORT TO TAM?A
Relinquished By: Accepted By:
Comments: (U) TRANSPORT
Relinquished By: .. I __________ __,
, Date 06/06/2013 02: 00 PM EDT Action: RECE·IVED_TRANSFER ~ v
Date 06/05/2013 09: 00 AM EDT Action: TRANSFER
Date 05/22/2013 05: 55 PM EDT Action: CHARGEr>_IN
Date 05/22/2013 01: 38 PM EDT Action: CHANGE_CUSTODY
Date 05/22/2013 06: 18 AM EDT Action: CHANGE_CUSTODY
Date 05/22/2013 03: 30 AM EDT
. .
b7E
b6 b7C
- ,,,. .. ..,: .... ...-. - '
b6 b7C
6/12/2013 11:47 AM
TODASHEV-824
l)iiiiilntinel Working Copy r ~c~. ( "' '1 .------------,
Accepted By:._! _______ ---1
Comments: (U) FOR TRANSPORT
Relinquished By: "'NlU.O.1.1.0,1.s;e ...... ______ _ Accepted By: ._! _________ .....
Comments: (U) COLLECTED
Shipping / Transfer Log
Transferred To: BOS~~~ ~~ l os12013
History
History Log
Action
EDT
UPDAlE_CHAIN_OF _ •••
UPDAlE_CHAIN_OF _ ...
UPDA1E_CHAIN_OF _ •.•
UPDAlE_CHAIN_OF _ •••
UPDAlE_CHAIN_OF _ ..•
Logged By
Page
09:oo AM I
Action: CHANGE CUSTODY
Date 05/22/2013 01: 24 AM EDT Action: FINALIZED
Received By: I I on 06/06/2013 02:00 PM EDT
Shipped via: FED EX with T.racking i 516106119895
Serial Reference Changed
06/12/2013
06/12/2013
06/12/2013
06/12/2013
06/12/2013
06/12/2013 ----- --
of 1
b7E
b6 b7C
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ACS Legacy History
Accepted By Accepted Date ,:. .. Accepted Reason : Barcode Case FD-192 Item Categol')
No Legacy History Entries
Page of 1
Acquisition Event Details
2of3 6/12/2013 11:47 AM
TODASHEV-825
i·Sentinel Working Copy
3 of3
Acquisition Event: (U) EVIDEN.CE COLLECTION
Acquired By: ..._ _______ --;::::=::::::!.------
Acquired From: (U) SPECIAL AGENT I BOSTON ..._ _______ ...,j
FL HOSPI~AL SOUTH 601 EAST ROLLINS STREET ORLANDO, Flqr;ida,
Acquired On: 05/22/2013'
Receipt Given: No
Holding Office:
Evidence Log:
TAMPA
89B-TP-2886360 Serial 5
b6 b7C b7E
6/12/2013 11:47 AM
TODASHEV-826
I,' Sentinel, Working Copy , ~- ,. ·~ 1
I of2
Evidence Details
Case: 89B-TP-2886360 Item: 1B21
Description: {U) GLOCK HOLSTER, MODEL4502, S/N 0702-83.
Acquired On: 05/22/2013 01: 24 AM EDT Eligible for Forfeiture: No
Receipt Item #: None Special Handling: None
Hazardous Materials: None
Fireann Infonnation - Other See description
Discovery Location Area: UNK
Specific: UNK None
Anticipated Disposition None on None
Storage Infonnation Holding Office: TAMPA
. Finalized By: .._I _________ ___, Last Inventory:
Location: E04016728 - ECRl E04016967 - ECRl, GC6
Barcode #: E03415551
t:'nain of Custody
Snipping / Transfer Log
'Arstory
Acquisition Event Details
Acquisition Event: {U) EVIDENCE COLLECTION
Acquired By:
Acquired From:
None
EVIDENCE COPY I 6d\ I
b7E
b6 b7C
b6 b7C
TODASHEV-8271 5/24/2013 2:14 PM I
-- -~-
Sentinel Working Copy r ~----------------~--------~--'=--=--=--=--=--=--=--=--=--=--=--=--=-::--=--=--=--=--=--=--=--=--=--=--=-·s"""•---~-~...,_:·-.,_, ~•-_,-:.,--' __
2of2
(U) SPECIAL AGENTI BOSTON '---------~ FL HOSPITAL SOUTH 601 EAST ROLLINS STREET ORLANDO, Florida,
Acquired On: 05/22/2013
- -- --Receipt Given:--- -No
Holding Office: TAMPA
Evidence Log:
89B-TP-2886360 Serial 5
--~~-~----- -----~-
b6 b7C
-b7E
.~tD-l004 Revised
9-25-2006
Evidence Type: l$_General
D Batteries • HAZMAT D Req. Charging
D Biohazard D Latents • None
D Other _____ _
FEDERAL BUREAU OF INVESTIGATION
EVIDENCE CHAIN-OF-CUSTODY
• Drug • Valuable • Firearms • CART
• FGJ D Refi:igerate
Signatun s_b. -z. / 1-s i----1..-...,...-------------,r
Printed Namej
Reason: Collected
-L----------1----------; <Al
Signature: I I
Printewrrame I Signatur~ /
r---------;- 5 /2.?.. 13 Printed Nliiffi.1
i-----"'L ___________ _J-
R ea son:
Signatun ~ (2.-z,/ {.:J Signature:! .s/z.,/ t3 Pi:inted 1' am1
I ~/frv- Printed Name l!...1'8f.,,.,
.s-A-1 Reason: TizA-JJ,S fp IZ 'i' 7, Reason: - f ,.,,,,.sna,..::J-
Signature .s/'l:1...//.3 Sigm 5½_-i,fa> -Printed Name: s-:s*"""' Printed Name 5).rr-,i.-
Reason: -rc;-Evi"<f ~c."1!.. Reason:~ '...J l'i r'f,~0 /,V
Signature: Signature G/G/t3 Printed Name -= -.f:lJ_Ou~u,, . ..__,_P_ri_n_te_d_N..,,.a...,m-1
Reason:-16 .... ~ .... _g-----A/uJ.,-')-f-!-"'"' .......... fA!;-"""'~----,IJ.->_I._IP...,.Y.--101, l c;,/19r 7leason~~.ty,(_, ~4~ [ / '-i 0-C
---,--.,....,----------'' I
I Firearms Certification:
- Printed Name:
.
Signature:
18: __ .::;;..a..a./ ____ _
Date:
Barcode: £ 63':) l 5'$5'/
b6 b7C
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TODASHEV-8291
__J
i ~.
EVIDENCE CHAIN-OF-CUSTODY
Continuation Page
Relinquished Custody Date and Accepted Custody Time
Signal )"2o>5 Signature:!
Printed Name ~ h/rz/13 Printed Name: I ~f) Reason: ./ e., "tl>I"\'\ Reason:
Relinquished Custody Date and Accepted Custody Time
Signature: t,lrf✓IJ
Signatu~
--------Printed Name:I ~Printed Name:
Reason: r~n ,(JJ/1 /)pfJJr;/J ,-h //2-S- Reason:
Relinquished 'custody Date and· Accepted Custody Time
Signature: Signature:
Printed Name: Printed Name:
Reason: Reason:
Relinqu~shed Custody . Date and Accepted. Custody Time· ' '
' '· ,·
Signature: Signature:
Printed Name: Printed Name:
Reason: Reason: ..
Relinquished Custody Date and Accepted Custody
' · Time '
Signature: Signature:
Printed Name: Printed Name: . Reason: Reason:
Relinqu!shed Custody Date and Accepted Custody Time
'
Signature: Signature:
Printed Name: Printed Name:
Reason: Reason:
..............
,.
'
Date and Time
l'Zt1S
b/12-/r3 Date and
Time.
r-...
D~ Time·
Date and . Tjme
Date and Time
Date and Time
b6 b7C
CaseID: ~"lB-1P-:Li''.8: b36o IB: __ Z_( --- Bareode: €03L/J55SJ
TODASHEV-83
fl). I 057 (Rev. 5-8• I 0) UNCLASSIFIED//~O
FEDERAL BUREAU OF INVESTIGATION Electronic Communication
01:F.ICIAL_8_ECORD Oo<~•~ ........ ~ly•~ /IJ~t-MIM~f.1'• .:-,.tlk,,Jf!JII~~~
Title: (U) Request to release evidence. Date: 06/03/2013
To:_I -
From: TAMPA TP-ORA3 Contact:
Approved By_: SSA ... I _________ ____,
Drafted By: ... I _________ ___, Case ID#: 89B-TP-2886360 (U) IBRAGIM TODASHEV;
SPECIAL AGENT-I...;....;.;..._........;. _____ _
May 22, 2013
Synops:i.s: (U) To request·-·the--return' of~personal-property entered into evidence.
Full Investigation Initiated: 05/23/2013
Reference: 89B-TP-2886360 Serial 5
Details:
investigation, one and
Pursuant to an assault on a federal officer (AFr) firearm holster was collected from Special Agent processed as evidence, as per referenced serial.~--------~ .
Per SSA._! ______ ~I the firearm holster is not required evidence, and the shooting review team has autho~ized its return to SA I I A review of captioned investigation identified the holster
as item 1B21: Glock Holster, Model 4502, S/N 0702-81.
UNCLASSIFIED/~
b6 b7C
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TODASHEV-83
UNCLASSIFIED/~
Title: (U) Request to release evidence. Re: 89B-TP-2886360, 06/03/2013
- -
Request Tampa Division Evidence Controf-releasethe aoove __ -_··--==-· referenced item, and ship it to Boston Division, attention SAi
I I Questions may be addressed to s~ I.._ __ __,
-- __ I .
••
UNCLASSIFIED//~
2
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.'f TODASHEV-832
• • • • ·• • • ·o.s. GPO: 2004-305-792/at 145 ...
FD-597 (Rev 8-1_1-94) Page _ _.\.__of __ \"--_
File#
UNITED 1 STATES DEPARTMENT OF JUSTICE FEDE1ilAL BUREAU OF INVESTIGATION
Receipt for 'roperty Received/Returned/Released/Seized
- ~ 0
· item(s) listed below were: • Received From -:gr_ Returned To
(Name) A (Street Address) QV\J}. C;z,Y\.tlC ?\ w'ZJ½...
(City) fu as\:oY"\ • Ht\ f . I
l 1:1 ,J
F ' Ii l' r
! I I . I
~i'
Received B:Y l.::>1gnarnreJ
• Released To • Seized
.
Received From: hre)
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i
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- ·~ . , .• ~"' '
' ::.~~ '~ , ~- ~
.. :•:, ,r "'
FD-340c(4-l1•03)
Serial# of Originating Document
Date Received O.S f u / z.o I 3 • From , F$:C "Tar,pe,,
Title:
(Name of Contributor/Interviewee)
Reference: ---s-PP~-J.o:;..;2..::;_d;;:.;tt;:.1,t.::::;.~.;.......,a.5_./4t.;;:~-..::..L-/?.J~O (i,:..'.3=--------------. (Communica~on Enclosing Material)
Description: D Original notes re interview of
~L-------------~I n~e~flr.;....;;:~~;+c. ___ . __
! '
({
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r t
(
1- FD-340 (Rev. 4-11-03)
File Number ~'1l3-TP- 'Z.S-8-b36.<J - rll- - Jv/ Field Office Acquiring Evidence _·--r@"""'-'-'th'""'~ ....... fl4;.;1, ______________ _
Serial# of Originating Document __ 'f._a _________________ _ Date Received as/2,"Z-/wrJ
I '
From _JL-------.....,.,.=l<"ffl'T"ffllmo.tl~r.::.::-;;;;::;;:;:~----------<Name 61 tontr1bu1or/lnterviewee) \ J
Oc\ruclo [L ' (Address)
(City and State)
By so._l ____ ____.---------To Be Returned O Yes ~ No
Receipt Given _• 1'.'es . JE No Grand Jury. Material - D1ssemmate Only Pursuant to Rule 6 ( e) Federal Rules of Criminal Procedure
D Yes - pl No Federal Taxpayer Information (FTI)
0 Yes gJ No
Title: ~ 1Ubt1-1. TciJlt SllcV Slect4<- A6c"""rl ... -------------
.}lt,w •z.:t., 1-CJl,3
Reference: (Communication Enclosing Material)
Description: D Original notes re interview of
v·
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TODASHEV-83 1
I I
u FD-597 (Rev 8-11-94)
On (date) 5/22/2013
(Name)
(Street Address)
(City)
Description of ltem(s):
1- Notebook (EVl)
2 - Shell Casing (EV2)
3 - Shell Casing {EV3)
4 - Shell Casing {EV4)
5 - Shell Casing (EVS)
6 - Shell Casing {EV6)
7 - Shell Casing (EV7)
T ALL Il!H'OJMi!,,TION COIITAI1!lED HEREIN IS UliCIASSIFIED EXCE,PT WHJ!:RJI.: SHOW'.R OTlD!!R'H'ISE
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UNITED STATE DEPARTMENT OF CLASSI~IED BY NSICG/JBfiJ43
T3
0 REASON. 1. 4 (C}
FEDERAL BUREAU OF INVESTl(:DECIASSIFY OR: 02-26-20-10
Receipt for Property Received/Returned/Releasedil::~!:1!I: 02 - 26 - 2015
item(s) listed below were: O Received From
0 Received To
O Released To
(81 Seized
~ 1-::r ~- M<~:.,ui\ I\Q ± .\o hs e,,,'rM~H 9 - Suit Coat (EV9)
10 - White Cloths (EVlO}
11-Gauze (EVll)
12 - Shell Casing {EV12)
13 - Sw.ord (EV13)
14 - Broom Stick (EV14)
15 - Projectile (EVlS)
Received Byl .... ________ ___,i---Received From
(signature)I .... ___________ ___. (signature) -----------
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~T TODASHEV-83~
. I
.. ~ , .• FD-597 (Rev 8-11-94)
UNITED STATE DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION
Receipt for Property Received/Returned/Released/Seized
Page 2 of 2
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I
FD-340c (4-11-03)
Field OfflceAcqulringEviden~ _,;,..✓,.;../9._:,.,n_A_~ __ A_.,,,_v._,,_,-:;_;.,:_~_.;..,,,J __________ _
Serlal#ofOrlglnatlngDocument _sr __________________ _
Date Received /C) /? /4o 3
1 From ___________________________ _
(Nameof Conbibutor/Inteniewec)
(Address)
By ..,f7;- ,..__ ________ f_Ci_br_sn_d_S•2 ..... 11-~--------------ToBeRelurned O Yes O No Receipt Given O Yes D No Grand Jury Material -Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal ?rocedure
D Yes O No Federal Taxpayer InformaJion (Fl'l)
D Yes O No
,.
Reference: __________________________ _ (Communication Enclosing Ma~)
r<ripUon, ~ginal notes re interview of
-,
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ALL IHFOBMA'rION CONTAINED HEREIN IS UNClASSH"IED EXCEPT 'HDERE SllOWli OTHERNISE.
CLASSIFIED BY NSICG/J86J43T30 REASON: L4 {C}
DECLASSIFY' O!i: 02-26-2040 DATE: 02-26-201!:i
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TODASHEV-842, I