itha..1914k Time of Collection !S . 2..e. Collected By i i1/4AL•r• Description of 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