ted Name/Agency: Reason: Relinquished Custody Signature: Printed Name/Agency: Reason: 0 Drugs K Valuables O l.atents O Freeze O I.ire:trim Weapsn K Firearms.Other 0 ro K Refrigerate Initial Recife Signature of S Printed N ime/ Reason: Initia Collected By: Agency: Date and Thee 42 2L