ency: Printed Name/Agency: Reason: Reason: Reilaqubbed Custody Date and Time Accepted Custody Data and Time Signature: Signature: Printed Nrune/Agency: Printed Name/Ataxy: Reason: Reason: Case ID: 31640444 02062 18: 8 Batcode: 64229235 This form is incomplete without reference to the FD-1087. S