Da Form 4137 Evidence/property Custody Document

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MPR/CID SEQUENCE NUMBER
EVIDENCE/PROPERTY CUSTODY DOCUMENT
For use of this form see AR 190-45 and AR 195-5; the proponent agency is US Army
CRD REPORT/CID ROI NUMBER
Criminal Investigation Command
RECEIVING ACTIVITY
LOCATION
NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED
ADDRESS (Include Zip Code)
OWNER
OTHER
LOCATION FROM WHERE OBTAINED
REASON OBTAINED
TIME/DATE OBTAINED
DESCRIPTION OF ARTICLES
ITEM
QUANTITY
(Include model, serial number, condition and unusual marks or scratches)
NO.
CHAIN OF CUSTODY
ITEM
PURPOSE OF CHANGE
DATE
RELEASED BY
RECEIVED BY
OF CUSTODY
NO.
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
DA FORM 4137, 1 JUL 1976
Replaces DA FORM 4137, 1 Aug 74 and
APD LC v1.00
DA FORM 4137-R Privacy Act Statement
DOCUMENT
26 Sep 75 Which are Obsolete
LOCATION
NUMBER

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