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Printed Name/Agency: Reason: Reason: Relinquished Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Name/Agene): Printed Name/Agency: Reason: Reason: Relinquished Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Na
Name/Agency: Reason: Reason: Relinquished Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Name/Agene): Printed Name/Agency: Reason: Reason: Relinquished Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Name/Agency: Printed Nam
Printed Name/Agency: Reason: Reason: Relinquished Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Name/Agene): Printed Name/Agency: Reason: Reason: Firearm Certification by (FUSWAT) I Explosive Material Certification by (SABT): Printed Name: Signature:
Name/Agency: Reason: Reason: Relinquished Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Name/Agene): Printed Name/Agency: Reason: Reason: Firearm Certification by (FUSWAT) I Explosive Material Certification by (SABT): Printed Name: Signature: Date: ATF Trace Form
: Printed Namc/Agenc): Reason: Reason: Relinquished Custody Date ad Ilse Accepted Custody Date ad Ilse Signature: Signature: Printed Name/Agene): Printed Name/Agency: Reason: Reason: Firearm Certification by (FUSWAT) / Explosive Material Certification by (SART): Printed Name: Signature:
Reason: Relinquished Custody —• -)3.:\ t • I 1 its Date and ime Accepted Custody Date and Time Signature: 3/a-3 Signature: Printed N; Printed Name/Agency: Reason: —, (lo,9_, Reason: Relinqu ed Custody Date and Time Accepted Custody Date and Time Signature: Signature: Printed Name/Agency:
Entities connected to both Agene and Printed Name/Agency