Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

BUREAU OF JAIL MANAGEMENT AND PENOLOGY

_________________________________________
(Region)

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(Jail)

CHAIN OF CUSTODY

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________
Contraband / Evidence Received By:________________________
Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________
Contraband / Evidence Received By:________________________
Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________

Contraband / Evidence Received By:________________________

Contraband / Evidence Received From: _____________________
Date: _______________________ Time:____________________
Contraband / Evidence Stored At; _________________________
 CERTIFICATION

This is to certify that contraband / evidence had been properly

turned over to the personnel of PDEA Region XI during the OPLAN
GREYHOUND OPERATIONS dated February 02, 2018. This also
serves as an acknowledgement receipt of the said contraband/
evidence for the chain of custody.

___________________________
(Received By)

___________________________
(Received From)