IA-l•-19 -- ()I -II Enclose with/attach to evidence) ITEM g ife!. o_ cois CASE ID NUMBER: SUSPECT (If known) HISOTON OF ITEM: •S in rt°,1 () CiTcl DATE/TIME EM FOUND: I D rt :*--!2_ LOCATION: a i DUCA a g a . _ A All SIGNATURE OF • - • - • •- •• .e -. 4 . -• PRINTED NAME EVIDENCE