GALVAN AND ASSOCIATES__________________________________________________________________________________

SECURITY CONSULTING SERVICES SINCE 2005

Evidence – Property Transfer Form(Fax this Completed Form to Counsel)

Date/Time (T-Mobile):_____________________________ Evidence _______ of __________BIOS Date/Time: ______________________________ Case No: ____________________Time Differential: ______________________________ Investigator: _________________Case Description: ______________________________ Company: ___________________

Primary User: ______________________________Primary Owner: ______________________________Name: ______________________________Address: ______________________________Phone: ______________________________

Evidence: (x)__________________________________________________ _____________Recipient: Print Full Name: _______________________________________ Date

Phone: _______________________________________________

Released (x)___________________________________________________ _____________By: Print Full Name: ____________________________________ Date

Phone: ____________________________________________

Delivery Messenger Name/Signature: ___________________ / __________________ / _________ Date

Processor Cpu (Circle one: Pentium III / Celeron / Pentium IV / Specify): _____________________Processor Speed (Circle one: 3.2 GHz / Specify): _________________________________________Computer Model # (Circle one: Dell / Compaq / HP / Specify): ______________________________Serial Number: ____________________________ Service Tag (Dell only): ____________________Is there Visible Damage? (Y/N): ___________________ Service code (Dell only): _______________ (Attach photograph(s) of the front and back of Computer and all tagged connections)

# of Internal Drives # of External DrivesDesktop: ________________ ________________Laptop: ________________ ________________Server: ________________ ________________

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