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DEPARTMENT OF THE INTERIOR RERT OF INVEIGATION U.S FI AND WILDLIFE RVICE RERT#: 201520,18R001 OFFICE OF LAW ENFORCEMENT APPROVED - CASE CLOSED Note: This documt contns nth rommd@ians nor conclu ans of the Office of La Enforct, U.S. Fi d Wildlife vice. It is the propty of this office and is loanꝏ to your cy. It, and its contts e not to be distributꝏ outde of your cy. CAîTITLE REPORT DATE CAîNUMBER 09/10/2015 201520,18 MEXICAN GRAY WOLF # 1390 PORTING OFFICER CAîATUS (COLLARED). J b)(6), (b)(7)(C) I PENDING N Tl VE CA APPVED BY l (b)(6), (b)(7)(C) � 11/12/2015 l(b)(6), (b)(7)(C) � 09/21/2015 l(b)(6), (b7)(C) I - 09/10/2015 ECTS OF PORT OPSS This c involv the invig@ion into the cau of dh of Mexican grꜽ wolf #1390 which w found d @ Adobe Rch in the uthn pt of the Gi Ia N@ian For. No hunting w authorizꝏ in this

DEPARTMENT OF THE INTERIOR U.S. FISH AND WILDLIFE … · 2020. 12. 18. · Mexican gray wolf #1390 (See attachmen , e ennary Pathology Examination Preliminary Report). Radiographic

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  • DEPARTMENT OF THE INTERIOR REPORT OF INVESTIGATION U.S. FISH AND WILDLIFE SERVICE REPORT#: 2015204418R001 OFFICE OF LAW ENFORCEMENT APPROVED - CASE CLOSED

    Note: This document contains neither recommendati ans nor concl usi ans of the Office of La.v Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loanoo to your a,;Jency. It, and its contents are not to be distributoo outside of your a,;Jency.

    CAEETITLE REPORT DATE CAEENUMBER

    09/10/2015 2015204418 MEXICAN GRAY WOLF # 1390

    REPORTING OFFICER CAEESTATUS (COLLARED). J

    b)(6), (b)(7)(C)

    I PENDINGSENS/ Tl VE CASE APPROVED BY

    l(b)(6), (b)(7)(C) � 11/12/2015 l(b)(6), (b)(7)(C) � 09/21/2015 l(b)(6), (b)(7)(C) I - 09/10/2015

    SJBJECTS OF REPORT

    SYNOPSS

    This case involves the investigation into the cause of death of Mexican gray wolf #1390 which was found dead at Adobe Ranch in the southeastern part of the Gi I a Nati anal Forest. No hunting was authori zoo in this area

    RSilverPencil

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. ft is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED) INV#: 2015204418

    Report #: 001

    DETAILS OF INVESTIGATION

    d(bX6), (bX7)(C) IR RA ._ ___ .., eceives Information about Wolf Mortality

    On September 8, 2015, at approximately 1600 hours, U.S. Fish and Wildlife Service/Office of Law Enforcement (USFWS/OLE) Resident Agent in Charge (RAC CbX5>,C7>cc> eceived a call from Mexican Gray Wolf Recovery Program (MGWRP) Biologist Cb>C5>, Cb>C7>cc> During the cal1jCb>C5>. (b>a>cc> I explained the information she had of a potential wolf carcass in the area of Adobe Ranch, near the Gila National Forest, New · Cb>C5>.CbX7>cc> ndicated that she would. . (b)(6), (bX7)(C..____,.___,._. . be respondmg to the scene the followmg day. RAC ontactea New Mexico Department of Game and Fish (NMDGF) Sergeant Sgt.) Cb>C5>, Cb>l7>cc> and ask for an officer to respond with RA Cb>C5>, (b>a>cc> andCblC5>, Cb>a>cc> I S t. c1>cci c assigned NMDGF Offic9(

    b)C6>. (bX7> I to the case and to respon to the scene with (bXG).Cb>C7>cc> and RAC CbX5>.Cb>C7>cc>

    RAC Vazquez, Officer (b)(G),(b)(l)cc> and Biologist (b)(Gl.C7> Find MGW#1390

    On Se tember 9, 2014, at approximately 1140 hours, RAC (b)(G), (b>C7>cc> Office (b)CG>. (b>a>cc> and(bl(G>.l7>cc> met and searched for Mexican grey wolf #1390. Mexican grey wolf#l 390 was found at t e mversal Transverse Mercator (UTM) Nad 83, zone 13, 0226391/3726053. The wolf was lying with the right side of its body up and head pointin to the north. The carcass was located approximately eighty (80) yards from a dirt road. RA (b)(G>. (b)l7> took pictures of the scene. With the assistance of Office Cb>.Cb>a>cc> anC5>,cb>l7>cc> !, RAC!Cb>.Cb>C7> �ollected the carcass andcollar of Mexican grey wolf# 1390. Mexican grey wolf#1390 was assigned Seizure Tag #701853.

    Evidence Submitted for Analysis

    On September 10, 2015, RA .... (b>_c6>_.l7_>cc_ > ... ubmitted the carcass of Mexican gray wolf#1390 to theNational Fish and Wildlife Forensics Laboratory (NFWFL) in Ashland, Ore on, for necro s . The carcass was shipped via FedEx (See attachment #1, FedEx airway bill ... cb_>c5 _>.C5>, Cb>l7>cc> requested that NFWFL personnel conduct a full necropsy of the carcass in orderto determine a possible cause of death.

    DESCRIPTION OF SUBJECTS

    No subjects have been identified at this time.

    PRIOR VIOLA TIO NS

    None to document as no subjects have been identified at this time.

    Page 2 of 4 (Revised 09/l l)

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. ft is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED)

    INV#: 2015204418

    Report#: 001

    WITNESSES

    l(b)(6), (b)(7)(C) Resident Agent in Charge ...._ ____ __.U.S. Fish and Wildlife Service Office of Law Enforceme�,,..,,.,.=,.., 4901 Paseo del No1ie NE (b)(6),(b)(7)(c)

    87113

    Wildlife Biologisl._cb _)(6_>. _cb>_C1>_ cc_> ____ _.

    U.S. Fish and Wildlife Service Mexican Gray Wolf Recovery ProgramP.O. Box 856 Alpine, Arizona 85920

    r)(6). (b)(7)(C) 1

    OfficerjCbJ(6J, {b)(7Jcc> I New Mexico Depa1tment of Game and Fish Southwest Area Operations 2715 Northrise Drive Las Cruces, New Mexico 88011

    l(b)(6), (b)(7)(C) I

    LAWS VIOLATED

    No violations of law have been identified at this time.

    EVIDENCE

    1. One (1) male Mexican gray wolf carcass # 1390, assigned Seizure tag #701853 (Item # 1 ),is currently held at the NFWFL in Ashland, Oregon.

    Audio Recordings/Videos Recordings/Photographs Created by Law Enforcement:

    Photographs

    I. One (1) Memorex CD-RW, titled "2015204418-PHOTOS-001," stored at theUSFWS/OLE in Albuquerque, New Mexico.

    Evidence Seized and Maintained by Another Agency:

    No evidence has been seized and/or maintained by another agency at this time.

    Page 3 of 4 (Revised 09/l l)

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. ft is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED)

    ATTACHMENTS

    INV#: 2015204418

    Report#: 001

    1. l(bX6), (b)(7)(C) I Copy of FedEx Airbill ._ ____ ____, dated 09/ l 0/2015 ( 1 page).

    Page 4 of 4 (Revised 09/l l)

  • FecEx USAirbi/1

    Sende(s FedEx Account Number

    (b)(6), (b)(7){C)

    (b)(6), (b)(7)(C)

    0215

    ress Package Sel'Vice Ex Priority �ht □ FedEx Standan! Overnight --·= ""'--· ,,._ .... _... --..NClf-.,;._W\lllAYDIMtyll

    (b)(6), (b)(l)(C) FedEx20 FedExE,(p Saver Phone D s.c ... � ... �.. D --z�

    PadcaJ}es up to I/ill lbs.

    □ F9dExFirstOwmight ____.....,., __ _ --NOT-

    1---�-'-'-I___________ _..,,_°"":::°..:;';[ --NOT-,._ _____________ __,

    L--r.:==---""¥°""1!""- __J Company USFWS/LE

    Mdress 4901 PASEO DEL NORTE NE STE D

    City ALBUQUERQUE State NM ZIP 87113

    r(6), (b)(7)(C)

    Store your addresses at fedex.com

    -

    e Simplily your shipping. Menage your account. Access all the tools you need.

    4b Express Freight Selvice

    □ ����� □ ���.::t:":n=v=:= =-�-=·c.1111-

    D R,'Y.i.c:u-

  • DEPARTMENT OF THE INTERIOR REPORT OF INVESTIGATION U.S. FISH AND WILDLIFE SERVICE REPORT#: 2015204418R002 OFFICE OF LAW ENFORCEMENT APPROVED - CASE CLOSED

    Note: This document contains neither recommendati ans nor concl usi ans of the Office of La.v Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loanoo to your a,;Jency. It, and its contents are not to be distributoo outside of your a,;Jency.

    CAEETITLE REPORT DATE CAEENUMBER

    04/12/2016 2015204418 MEXICAN GRAY WOLF # 1390

    REPORTING OFFICER CAEESTATUS (COLLARED). l(b)(6), (b)(7)(C)

    I PENDING SENS/ Tl VE CASE APPROVED BY (b)(6), (b)(7)(C) 1- 04/26/2016(b)(6), (b)(7)(C) 1- 0411812016

    l(b)(6), (b)(7)(C) I 0411212016

    SJBJECTS OF REPORT

    SYNOPSS

    This r�rt documents the Veterinary Pathol Examination Preli mi nary R�rt, which WcE preparoo by Veterinary Pathologist (VP (b)(

    6>. (b)(7>cc> detai Ii ng the i ni ti al examination of Mexican gray wolf #1390.

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. lt is the property of this office and is loaned to your agency. lt, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED)

    INV#: 2015204418

    Report #: 002

    DETAILS OF INVESTIGATION

    RAC (b)(6), (b)(?)(C) eceives Preliminary Report about Mexican Gray Wolf #1390

    , . (b)(6), (b)(?)(C) On September 21, 2015, Resident Agent m Charge (RAC..._ ....... ,......_ ....... �received a VeterinaryPathology Examination Preliminary Report from the Nationa 1s an ildlife Forensics Laboratory (NFWFL) in Ashland, Oregon. RA Cb>,Cb)(?)(c) had submitted the carcass of Mexican gray wolf#1390 to the NFWFL in order to have a necropsy completed to determine the cause of death for the wolf. The Veterinary Pathology Examination Preliminary Report, which was prepared by Veterinary Pathologist (VP Cb>C5 >. Cb)(?)cc> detailed the initial examination of Mexican gray wolf #1390 (See attachmen , e ennary Pathology Examination Preliminary Report).

    Radiographic Examination

    As part of the Radiographic examination, VP �noted that there was a comminuted fracture of the right humerus at the distal metaphysis. There are several pinpoint, possible metal fragments around the distal fracture fragments. Overlapping the left 4th rib at approximately mid-diaphysis is an approximately two (2) mm in diameter metal particle.

    External Examination

    1f6>(6)

    ·15

    ' I As part of the external examination, V(?)cc> noted that the collar was intact. The carcass is largely skeletonized. Remaining soft tissues (skin and tendons) are desiccated. Skin remains over the left side of the body, the head, hindlimbs from knees to tarsi, left forelimb around the elbow and right forelimb from the elbow to the carpus. Additionally there is a thin band of skin extending around the right side of the chest overlying rib 5.

    Evidence of Injury

    v���m (6j I further noted, as part of evidence of injury, that the right humerus is fractured along the distal third of the diaphysis through and including the distal articular surface. The fracture is comminuted resulting in approximately five (5) fracture fragments. The proximal end of the fracture is largely oblique. The distal fragments are partially covered in dried blood.

    Summary of Post-Morten Findings

    VlLJ3wnmarized the Post-Morten findings as:

    • Right humerus; comminuted fracture with possible metal particulates• Right rib 4; attached metal particle• Sternum fracture

    Page 2 of 3 (Revised 09/1 l)

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. ft is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED)

    DESCRIPTION OF SUBJECTS

    No new subjects have been identified at this time.

    PRIOR VIOLATIONS

    INV#: 2015204418

    Report #: 002

    None to document as no new subjects have been identified at this time.

    WITNESSES

    R .d . Ch l(b)(6), (b)(7)(C) es1 ent Agent m arge ,______ __,

    U.S. Fish and Wildlife Service Office of Law Enforcement 4901 Paseo del Norte NEJ

    "'"cb""'>c5 .... >,c"""b>(7""x.,,.c>"'"IAlbuquerque, New Mexico 871 I 3

    l(b)(6), (l>X7)(C) I

    LAWS VIOLATED

    No new violations of law have been identified at this time.

    EVIDENCE

    No new evidence has been documented at this time.

    Audio Recordings/Videos Recordings/Photographs Created by Law Enforcement:

    No recordings and/or photographs have been created at this time.

    Evidence Seized and Maintained by Another Agency:

    No evidence has been seized and/or maintained by another agency at this time.

    ATTACHMENTS

    1. Copy of Veterinary Pathology Examination Preliminary Report, dated 09/17/15(2 pages).

    Page 3 of 3 (Revised 09/1 l)

  • IN REPLY REFER TO;

    United States Department of the Interior FISH AND WILDLIFE SERVICE

    Office of Law Enforcement Clark R. Bavin

    National Fish and Wildlife Forensics Laboratory 1490 East Main Street

    Ashland, Oregon 97520

    VETERINARY PATHOLOGY EXAMINATION

    PRELIMINARY REPORT

    ACCREOITEO

    FOREHSlC TESTING lABORATORV

    September 17, 2015

    Note: This report outlines the preliminary findings of gross necropsy on the submitted animal evidence. Further evaluation of the case evidence is pending and a final report will be produced when examination of all evidence is complete.

    Lab Case#: 15-0280Agency Case#: 2015204418 Pathologist: ... l

    .

    _ j Albuquerque. NM 87 113 Investigator: l'.

    bl(6l, (b)(7)(C> Suspect(s): ._ ________.

    The following evidence was received in the Evidence Unit of the Laboratory on September 11, 2015, and was transferred to the undersigned examiner on September 17, 2015:

    Lab l: "One (I) Carcass of Mexican Gray Wolf#l 390, collared" [ST#70185 3; Item#0l]

    HISTORY None.

    EXAlVONA TIONS CONDUCTED

    LAB-I: The carcass was radiographed (x-rayed), dissected, and examined visually (necropsy examination) for gross pathological lesions. Photographs were taken to document any significant gross pathological findings.

    LAB-1 was itemized and the follo\.ving sub-items were generated: LAB-lA Toe from LAB-1 LAB-I B Right humerus fracture from LAB- I

    EVIDENCE DETAILS-- LAB-1

    Common name: Wolf, Mexican gray

    (b)(6), (b)(7)(C)

    Pathologist lni tials ..._ ____ __,

    Weight: n/a

    Page 1 of2

    ATTACHMENT NO._=l_

    PAGE_1 __ 0F __ 2 __

  • Veterinary Pathology Examination Preliminary Report, Lab Case# 15-0280, LAB-1 - Continued

    September 17, 2015

    Scientific name: Canis lupus baileyi

    Sex:

    Lifestage:

    Male

    Adult

    Necropsy Date: 17 September 2015

    POST-MORTEM FINDINGS

    Carcass composition: Partially skeletonized carcass

    Nutritional condition: lndetenninate

    Post-mortem condition: Poor

    RADIOGRAPHIC EXAMINATION: There is a comminuted fracture of the right humerus at the distal metaphysis. There are several pinpoint, possible metal fragments around the distal fracture fragments. Overlapping the left 4th rib at approximately mid-diaphysis is an approximately 2 mm in diameter metal particle.

    EXTERNAL EXAM IN AT ION: The collar is intact. The carcass is largely skeletonized. Remaining soft tissues (skin and tendons) are desiccated. Skin remains over the left side of the body, the head, hindlimbs from knees to tarsi, left forelimb around the elbow and right forelimb from the elbow to the carpus. Additionally there is a thin band of skin extending around the right side of the chest overlying rib 5.

    EVIDENCE OF INffiRY: The tight humerus is fractured along the distal third of the diaphysis through and including the distal articular surface. The fracture is comminuted resulting in approximately 5 fracture fragments. The proximal end of the fracture is largely oblique. The distal fragments are partially covered in dried blood.

    The sternum is fractured between ribs 5 and 6. Fractured edges are dark red-brown. The ribs are intact.

    INTERNAL EXAMINATION: There are no remaining internal organs.

    SUMMARY OF POST-MORTEM FINDINGS

    Right humerus; comminuted fracture with possible metal particulates Right rib 4; attached metal particle ""cb""J,""c1"">,....... _______________ _ Sternum fracture

    Pathologist Initials -/...a.K

    (b)(6), (b)(7)(C)

    � DVM DACVP

    Veterinary Pathologist

    Page 2 of2

    ATTACHMENT NO.-�-

    2 2 PAGE ___ OF ___ _

  • DEPARTMENT OF THE INTERIOR REPORT OF INVESTIGATION U.S. FISH AND WILDLIFE SERVICE REPORT#: 2015204418R003 OFFICE OF LAW ENFORCEMENT APPROVED - CASE CLOSED Note: This document contains neither recommendati ans nor concl usi ans of the Office of La.v Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loanoo to your a,;Jency. It, and its contents are not to be distributoo outside of your a,;Jency. CAEETITLE REPORT DATE CAEENUMBER

    04/12/2016 2015204418 MEXICAN GRAY WOLF # 1390

    REPnRTI Nr, nFFI r.ER CAEESTATUS (COLLARED). (b)(6), (b)(7)(C) NO SENS/ Tl VE CASE NVESTIGATION

    POSSIBLE IN FORSEEABLE FUTURE

    4,_,,_,_ 7\/l=n AV (b)(6), (b)(7)(C)

    04/26/2016 (b)(6), (b)(7)(C) 1- 04/18/2016(b)(6), (b)(7)(C) t 04/12/2016

    SJBJECTSOF REPORT

    SrNOPSS

    This rEl)Ort documents the Criminal i sti cs REl)Ort and Veterinary Pathol Examination Preli mi nary REl)Ort that were preparoo by V eteri nary Pathologist (VP) (b)(6), (b)(7)(C) detai I i ng the i ni ti al examination of Mexican gray wolf #1390. A I ro, as of November 3rd, 2015, there has been no leoos or cetivity in this case. Theraore, the case status hac; been changoo to NI.

    DISTRIBUTION

    Internal List (b)(6), (b)(7)(C)

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED) INV#: 2015204418

    Report #: 003

    DETAILS OF INVESTIGATION

    (b)(6), (b)(7)(C)

    RAC ___ ...,

    Receives Final Report about Mexican Gray Wolf #1390

    On November 3, 2015, Resident Agent in Charge (RAC) r)(6), (b)(l)(C) I received the Criminalistics Examination Report and Veterinary Pathology Examination Final Report from the National Fish and Wildlife Forensics Laboratory (NFWFL) in Ashland, Oregon. RAQ(b>(5>.CbX7>cc> had submitted the carcass of Mexican gray wolf#l390 to the NFWFL in order to have a necropsy completed to determine the cause of death for the wolf. The Criminalistics Examination Report and Veterinar Patholo y Examination Final Report, prepared by Veterinary Pathologist (VP) (b)(6>. (b)(7)(c> detailed the examination of Mexican gray wolf #1390 (See attachment #1, Criminalistics Examination Repo1t and Veterinary Pathology Examination Final Report).

    Examination Conducted on MGW#1390

    As part of the examination, VP� radiographed (x-rayed), dissected, and examined visually (necropsy examination) for gross pathological lesions. Photographs were taken to document any significant gross pathological findings.

    Case Summary

    In VP �opinion, necropsy findings were most consistent with gunshot as the cause of death. �t leg fracture occurred at or near the time of death. The character of the fracture as well as radiographic evidence of metal particulates around the fracture site informed her opinion that gunshot was the cause of death. An additional metal fragment in the left side of the ribcage and a sternum fracture were suggestive of additional damage to the chest cavity. Due to extensive decomposition, the presence or absence of internal organ injury could not be assessed. The presence of metal could not be confirmed in a fracture fragment when further examined with x-ray fluorescence.

    Evidence Details

    • LAB-1 Common name: Wolf, Mexican gray• Weight: n/a• Scientific name: Canis lupus baileyi• Carcass composition: Partially skeletonized carcass• Sex: Male• Nutritional condition: Indete1minate• Life stage: Adult• Post-mortem condition: Poor• Necropsy Date: 17 September 2015

    Page 2 of 4 (Revised 09/1 l)

    RSilverPencil

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED)

    Post-Mortem Findings Radiographic Examination

    INV#: 2015204418

    Report #: 003

    VP��]indicated that there was a comminuted fracture of the right humerus at the distal metaphysis. There were several pinpoint, possible metal fragments around the distal fracture fragments. Overlapping the left 4th rib at approximately mid-diaphysis is an approximately 2 mm in diameter metal particle.

    External Examination

    VP� indicated that the collar was intact. The carcass was largely skeletonized. Remaining soft tissues (skin and tendons) are desiccated. Skin remained over the left side of the body, the head, and hind limbs from knees to tarsi, left forelimb around the elbow and right forelimb from the elbow to the carpus. Additionally there was a thin band of skin extending around the right side of the chest overlying rib 5.

    Evidence of Injury

    VP�stated that the right humerus was fractured along the distal third of the diaphysis through and including the distal articular surface. The fracture was comminuted resulting in approximately 5 fracture fragments. The proximal end of the fracture was largely oblique. The distal fragments are partially covered in dried blood. The sternum was fractured between 1ibs 5 and 6. Fractured edges are dark red-brown. The ribs were intact.

    Internal Examination

    VP �found that there were no remaining internal organs.

    Summary of Post-Morten Findings

    As part of the necropsy, va��iSj

    ,(bj(i)luncovered the right humerus; comminuted fracture with possible metal particulates. Left rib 4; attached metal particle Sternum fracture.

    Cause of Death

    YILJoncluded that the cause of death was gunshot.

    DESCRIPTION OF SUBJECTS

    No new subjects have been identified at this time.

    PRIOR VIOLATIONS

    None to document as no new subjects have been identified in this report.

    Page 3 of 4 (Revised 09/1 l)

    RSilverPencil

  • This document contains neither recommendations nor conclusions of the Office of Law Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loaned to your agency. It, and its contents, are not to be distributed outside of your agency.

    REPORT OF INVESTIGATION

    Title: MEXICAN GRAY WOLF #1390 (COLLARED)

    WITNESSES

    j(b)(6), (b)(7)(C) Resident Agent in Charga ______ _U.S. Fish and Wildlife Service Office of Law Enforcement 4901 Paseo del Norte NEJ

    ""

    ��""

    \ts ... J.""'tBJ""'

    il ... J ..., Albu uer ue, New Mexico 87113

    LAWS VIOLATED

    No new violations of law have been identified at this time.

    EVIDENCE

    No new evidence has been identified at this time.

    INV#: 2015204418

    Report #: 003

    Audio Recordings/Videos Recordings/Photographs Created by Law Enforcement:

    No recordings and/or photographs have been created at this time.

    Evidence Seized and Maintained by Another Agency:

    No evidence has been seized and/or maintained by another agency at this time.

    ATTACHMENTS

    1. Copy of Criminalistics Examination Report and Veterinary Pathology Examination FinalReport, dated 10/23/15 (4 pages).

    Page 4 of 4 (Revised 09/1 l)

  • IN REPLY REFER TO:

    United States Department of the Interior FISH AND Vv'ILDLIFE SERVICE

    Office of Law Enforcement Clark R. Bavin

    National Fish and Wildlife Forensics Laboratory 1490 East Main Street

    Ashland, Oregon 97520

    ACCREDITED

    � F"ORENSIC TESTING

    LABORATORY

    October 20, 2015

    CRIMINALISTICS EXAMINATION REPORT

    Agency:

    USFWS/LE, Albuquerque 4901 Paseo Del Norte NEr"" ... )(

    ""'

    6),""'(b .... )(7"")(.,.,C)-... Albuquerque, NM 87113

    EVIDENCE RECEIVED:

    Lab Case #: 15-0280 Examiner: Agency Case Investigator:

    Suspects:

    Case Title: Mexican Grey Wolf#l390, Collared

    The following evidence was transferred to the undersigned examiner on September 21, 2015:

    LAB- lB: Right humerus fracture from LAB-I

    EXAMINATION REQUESTED:

    Veterinary Medical Examinefb>C5>. CblCC>spectrometry.

    !requested that LAB-lB be examined by x-ray fluorescence

    EXAMINATION CONDUCTED:

    LAB-18: The evidence item was examined employing x-ray fluorescence spectrometry.

    EXAMINATION RESULTS:

    LAB-I B: Results from the examination conducted did not reveal the presence of any copper, zinc or lead.

    DISPOSITION OF EVIDENCE:

    The evidence item was transferred to the Evidence Unit nendin2: return to the submitting: ae:encv.(b)(6), (b)(7)(C)

    Forensic Scientist

    I of I ATTACHMENT 1

    Page 1 of 4

  • IN REPLY REFER TO.

    United States Department of the Interior FISH AND WILDLIFE SERVICE

    Office of Law Enforcement Clark R. Bavin

    National Fish and Wildlife Forensics Laboratory 1490 East Main Street

    Ashland, Oregon 97520

    ACCREDITED

    � FORENSIC TESTING

    LA801\ATORY

    October 23, 2015

    VETERINARY PATHOLOGY EXAMINATION

    FINAL REPORT

    Lab Case#: 15-0280Agency Case #: 20 l 5204418 Pathologist: (blC6>· Cb>C?xc> Case Title: olf #\390, Collared

    EVIDENCE RECEIVED

    Submitting Agency:

    USFWS/LE, Albuquerque 490 I Paseo de! Nortd

    ""(b.,.;;>cc ... > ... Albuquerque, NM 87113 lm1estigator: !Cbl{6>. Cb>Suspect(s):

    The following evidence was received in the Evidence Unit of the Laboratory on September 11, 2015, and was transferred to the undersigned examiner on September 17, 2015:

    Lab l: "One (1) Carcass of Mex.ican Grey Wolf#l390, collared" [ST#701853; ltem#0l]

    HISTORY

    None.

    EXAMINATIONS CONDUCTED

    LAB-1: The carcass was radiographed (x-rayed), dissected, and examined visually (necropsy examination) for gross pathological lesions. Photographs were taken to document any significant gross pathological findings.

    LAB- I was itemized and the following sub-items were generated: LAB-IA Toe from LAB-1 (not analyzed) LAB- lB Right humerus fracture from LAB- I

    LAB- I B was assigned t�CbX6>. (bX?>CC> I Forensic Scientist - Chemistry, for analysis. (See report dated October 20, 2015) .__ _____ ......,

    CASE SUMMARY

    In my opinion, necropsy findings are most consistent with gunshot as the cause of death. The right leg fracture occurred at or near the time of death. The character of the fracture as well as radiographic evidence of metal particulates around the fracture site informs my opinion that gunshot was the cause. An additional metal fragment in the left side of the ribcage and a sternum fracture are suggestive of additional damage to the chest cavity. Due to extensive decomposition, the presence or absence of internal organ injury cannot be assessed. The presence of metal could not be confirmed in a fracture fragment when further examined with x-ray fluorescence spectrometry (see

    (b)(6), (b)(7)(C)

    Pathologist Initials_ .______ _, ATTACHMENT 1

    Page 2 of 4

    Page I of 3

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  • Veterinary Pathology Examination Final Report, Lab Case #15-0280 - Continued October 23, 2015

    C . .

    1· . E . . R

    (b)(G),(b)(?)(C) d d O b 20 2015) h . .

    . 1 · d nmrna 1st1cs xammat10n eport o ___ _. ate cto er , ; owever, 111 my op1mon t us oes not exclude gunshot.

    EVIDENCE DETAILS -- LAB-1

    Common name: Wolf, Mexican gray Scientific name: Canis lupus baileyi

    Sex:

    Lifestage: Necropsy Date:

    Male Adult I 7 September 2015

    POST-MORTEM FINDINGS

    Weight:

    Carcass composition:

    n/a Partially skeletonized carcass

    Nutritional condition: Indetem1inate Post-mortem condition: Poor

    RADIOGRAPHIC EXAMINATION: There is a comrninuted fracture of the right humems at the distal metaphysis. There are several pinpoint, possible metal fragments around the distal fracture fragments. Overlapping the left 4th rib at approximately mid-diaphysis is an approximately 2 mm in diameter metal particle.

    EXTERNAL EXAMINATION: The collar is intact. The carcass is largely skeletonized. Remaining soft tissues (skin and tendons) are desiccated. Skin remains over the left side of the body, the head, hindlimbs from knees to tarsi, left forelimb around the elbow and right forelimb from the elbow to the carpus. Additionally there is a thinband of skin extending around the right side of the chest overlying rib 5.

    EVIDENCE OF INJURY: The right humerus is fractured along the distal third of the diaphysis through and including the distal articular surface. The fracture is comminuted resulting in approximately 5 fracture fragments. The proximal end of the fracture is largely oblique. The distal fragments are partially covered in dried blood.

    The sternum is fractured benveen ribs 5 and 6. Fractured edges are dark red-brown. The ribs are intact.

    INTERNAL EXAMINATION: There are no remaining internal organs.

    SUMMARY OF POST-MORTEM FINDINGS

    Right humerus; comminuted fracture with possible metal particulates Left rib 4; attached metal particle Sternum fracture

    CAUSE OF DEATH

    GUNSHOT

    DISPOSITION OF EVIDENCE:

    (b)(6), (b)(7)(C)

    Pathologist Initials Page 2 of3 .-A""'""

    TT=-A..,..C_H.,,_M,.,,,E-N=T-1--.

    Page 3 of 4

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  • Veterinary Pathology Examination Final Report, Lab Case #15-0280 - Continued

    October 23, 2015

    (b)(6), (b)(7)(C)

    Pathologist Initials

    (b )(6 ), (b )(7 )(C)

    ATTACHMENT 1 Page 4 of 4

    Page 3 of 3

  • DEPARTMENT OF THE INTERIOR REPORT OF INVESTIGATION U.S. FISH AND WILDLIFE SERVICE REPORT#: 2015204418R004 OFFICE OF LAW ENFORCEMENT APPROVED - CASE CLOSED Note: This document contains neither recommendati ans nor concl usi ans of the Office of La.v Enforcement, U.S. Fish and Wildlife Service. It is the property of this office and is loanoo to youra,;Jency. It, and its contents are not to be distributoo outside of your a,;Jency. CAEETITLE REPORT DATE CAEENUMBER

    05/08/2018 2015204418 MEXICAN GRAY WOLF # 1390

    R£.EORTlNG OFFICER CAEESTATUS(COLLARED). l(b)(6), (b)(7)(C) I NO SENS/ Tl VE CASE INVESTIGATION POSSIBLE IN FORSEEABLE FUTURE

    APPROVED BY l(b)(6), (b)(7)(C) � 05/11/2018

    l(b)(6), (b)(7)(C) � 05/08/2018 SJ

    B

    JECTSOF REPORT

    SYNOPSS

    This r�rt documents the transfer of this case from U.S. Fish and Wildlife Service'Officeof La.vEnforcement Resident Agent in Chargel(b>c5>.(b)(l)cc> Ito Conservation La.v Enforcement Officer

    r(6). (b)(7)(C) 1

    DISTRIBUTION Internal List (b)(6), (b)(7)(C)

  • DEPARTMENT OF THE INTERIOR REPORT OF INVESTIGATION U.S. FISH AND WILDLIFE SERVICE REPORT#: 2015204418R005 OFFICE OF LAW ENFORCEMENT

    APPROVED - CASE CLOSED

    CA$TITLE REPORT DATE CA$NUMBER

    08/14/2020 2015204418 MEXICAN GRAY WOLF#1390(COLLARED).

    REPORTING OFFICER CAEESTATUS SENSITIVE CASE

    l(b)(6), (b)(7)(C) I RECOMMENDED FOR CLOSURE

    (b)(6), (b)(7)(C) PB/2612020

    08/17/2020

    �BJEQ.[SQF REPORT

    5YNOP$S

    This report documents the di�sition of property. On August 4, 2020, Mexicai gray wolf #1390 wa:.transterroo to the University of New Mexico, Division of Mammals, Museum of Southwest Biol . U.S. Fish and Wildlife Service'Office of Lw Enforcement (USFWS'OLE) Conservation Lw Enforcement Offi CbX5>,Cb>C7>cc> recommendsthisea5efor closure.

  • This document contans neither recommEl"lClationsnor conclll9ons of theOfficeof Law Enforcement, U.S. Fish a1d Wildlife Service. It is the property of this office and is loanoo to your a;iency. It, a1d its contents, are not to bedistributoo outside of your a;iency.

    REPORT OF INVESTIGATION Title: MEXICAN GRAY WOLF# 1390 (COLLARED).

    DETAILS OF INVESTIGATION

    Disposition of Evidence'Property

    INV#: 2015204418 R�rt: 2015204418R005

    On August 4, 2020, U.S. Fish and Wildlife Servi . aN Enforcement (USFWS'OLE) . , (bX6), (b)(7)(C) Conservation LaN Enforcement Officer (CLEO)..........,.,........,..,,...........,-,--.....,transferroo one · gray

    wolf Ganis I upus bai I ey1) #1390 carcass to Senior Col I octi on M anager ( SCM) (bX6>. (b)mcc>

    (bX6>.(b)(?)(C) of the Museum of the Southwest, Univa-sity of NENv Mexico (UNM), in Albuqua-que,NENv Mexico (See attochment #1, Transfer Order Surplus Perronal Property [SF-123]). The property Wa.5 donatoo to the Museum of the Southwest, UNM for ooucational and/or s:;ientificpurposes.

    All of the evidence'property Wa.5 disposoo of in occordance with the re;1ulationsof the USFWS'OLE. The following lists the disposition of theevidence'property a5rociatoo with thisinvestigation:

    On August 4, 2020, one (1) male Mexican gray wolf carcass, identifioo in the Mexican Gray WolfRocovery Program (M GWRP) studbook a5 #1390 Wa.5 transf erroo to the Museum of the Southwest,UNM

    .,,.....,,��-.......... 2020,!cb>(6>,cb>(7>(C> �ransferroo one (1) telemetry collar to Wildlife Biologist (WB)

    of the M GWRP ( See attochment #2, Transfer of Property [ D 1-104]). (b)(6), (bX7)(C)

    The cause of death for Mexican gray wolf #1390 wa5gunshot. is rocommending thisinvestigation for closure. ____ ....

    DESCRI PJI ON OF SUBJECTS

    No subjoctshavebeen identifioo at this time.

    PRIOR VIOLATIONS

    None to document a5 no nENv subj octs have been i dentif i oo in this report.

    WITNESSES

    REPORTING OFFICER

    ai(bX6),(b)(7)(C)

    Conservation LaN Enforcement Offic U.S. Fish and Wildlife Service ,___ _____ _,Office of LaN Enforcement 42803 U.S. Hwy 180/USF�""cb>

    ""'c6>..,,..cb .... )(?,.,.,.>cc,...> -----.

    U.S. Fish Md Wildlife Se-vice Office of La,; Enforcanent - Report � 2 of 3

    RSilverPencil

  • This document contans neither recommEl"lClationsnor conclll9ons of theOfficeof Law Enforcement, U.S. Fish end Wildlife Service It is the property of this office and is loanoo to your a;iency. It, end its contents, are not to bedistributoo outside of your a;J€11CY-

    REPORT OF INVESTIGATION Title: MEXICAN GRAY WOLF# 1390 (COLLARED).

    A I i ne, Arizona 85920 (b)(6), (

    b)(7)(

    C)

    Senior Col I oction Man�er ._r_6>_. (b-)(?)-(C) ______ _. Division of Mammals, Museum of the Southwest University of NeN Mexico Albuquerque, NeN Mexico 87131

    r

    )(6). (b)(7)(C)

    1

    LAWS VIOLATED

    No neN violations of laN have been ideitifioo at this time.

    EVIDENCE

    INV#: 2015204418 R�rt: 2015204418R005

    The evideice previously ideitifioo in R001 held under Seizure T� (ST) #701853 and listoo below wac; transferroo to Museum of the Southwest, UNM on 08/04/2020:

    1. One ( 1) male Mexican gray wolf #1390 carCa5S

    The evideice previously identifioo in R001 held under ST #701853 and listoo below wac; transferroo to the MGWRP on 08/11/2020:

    1. One ( 1) telemetry col I ar

    Audio Rec:ordings'Video Rec:ordings'PhotographsCreated by Law Enforcement:

    No rocordi ngs and/or photogr�hs were creatoo at this ti me.

    Evidence Seized and Maintained by Another Agency:

    No evideice hac; been seizoo and/or maintainoo by another �eicy at this time.

    ATTACH M ENIS

    1. Copy of Transfer Order Surplus Pers:>nal Property (SF-123), datoo 08/04/2020 (2 p�es).2. Copy of Transfer of Property (Dl-104), datoo 08/11/2020 (1 p�e).

    U.S. Fish Md Wildlife Se-vice Office of La,; Enforca-nent - Report � 3 of 3

  • I NV #2015204418

    TRANSFER ORDER 1 . URDtK NUiv,cER(:,) rur

  • INV #2015204418 CERTIFICATIONS, AGREEMENTS, AND ASURANCES

    The transferee specified in block 13a on the obverse of this transfer order, in consideration of and for the purpose of obtaining any or all property for donation covered by such transfer order, recognizes and agrees that any such transfer will be made by the United States in reliance on the following certifications, agreements, and assurances:

    1 . OFFICIAL SIGNING IN BLOCK 13b AS REPRESENTATIVE OF: a. STATE AGENCY. (1) As a condition of the allocation of property listed in block 12, the State agency, for itself, and with respect to any such property to be distributed in an adjacent State, pursuant to an approved lnterState Distribution Agreement as agent for an authorized representative of the adjacent State, hereby certifies:

    (a) It is the agency of the State designated under State law and assuch has legal authority within the meaning of section 203(i) of the Federal Property and Administrative Services act of 1949, 63 Stat. 386, as amended (hereinafter referred to as the Act), and the regulations of the General Services Administration to receive surplus property for distribution within the State to eligible donees within the meaning of the Act and regulations.

    (b) The property listed on this document or attachments hereto is usable and needed by a public agency for one ore more public purposes, such as conservation, economic development, education, parks and recreation, public health, public safety, and programs for older individuals, by an eligible nonprofit organization or institution which is exempt from taxation in the State under section 501 of the Internal Revenue Code of 1954 for the purpose of education or public health (including research for any such purpose), or by an eligible nonprofit tax-exempt activity for programs for older individuals.

    (c) When the P.roperty is picked up by or shipped to a State agency, the State certifies that it has available adequate funds, facilities, and personnel to effect accountability, warehousing, proper maintenance, and distribution of the property.

    (d) When the property is distributed by a State agency to a donee, or when delivery is made direct from a holding agency to a donee, that the donee who is acquiring the property is eligible within the meaning of the Act and the regulations of the General Services Administration, and that such property in usable and needed by the donee.

    (2) With respect to donable property picked up by or shipped to a State agency, the State agency agrees to the following:

    (a) The right to possession only is granted and the State agrees to make prompt statewide distribution of the same, on a fair and equitable basis, to donees eligible to acquire property under section 2030) of the Act and regulations of the General Services Administration, after such eligible donees have properly executed the appropriate certifications ana agreements established by the State agency and/or the General Services Administration.

    (b) Title to such property shall remain in the United States of America although the State shall have taken possession thereof. Conditional title to the property shall pass to the eligible donee when it executes the certifications and appropriate agreements required by the State agency and has taken possession of the property.

    (c) The State agency further agrees that it will pay promptly thecost of care, handling, and shipping incident to taking possession o such property and that during the time the title remains in the United States of America, it will be responsible, as a bailee for mutual benefit, for such property from the time it is released to the State agency or to the transportation agent designated by the State agency; and that in the event of any loss of or damage to any or all of the property it will file such claim and/or institute and prosecute to conclusion such proceedings as may be necessary to recover for the account of the United States of America the fair value of any such property lost or damaged.

    (d) No surplus property hereafter approved for transfer by the General Services Administration shall be retained by the State agency for use in performing its functions unless such property use is authorized by the General Services Administration in accordance with the provisions of a cooperative agreement entered into between the State agency and the General Services Administration.

    (3) Where an applicant State agency is acting under an interstate distribution agreement approved l:iy the General Services Administration as an agent and authorized representative of an adjacent State with which it shares a common boundary, the certifications and agreements required above shall also be made by the applicant State agency respecting the donees in such adjacent State to which distribution will be made and the property to be distributed in the adjacent State, and such certifications and agreements shall constitute the certifications and agreements to the adjacent State on whose behalf and as whose authorized representative the applicant State agency is acting.

    b. SERVICE EDUCATIONAL ACTIVITY. Pursuant to section 203(j) of the Act and regulations promulgated thereunder, and a designation of

    sonal property listed in block 12 is requested. It is hereby certified that (1) the signer is appropriately authorized; (2) the property is usable andnecessary to carry out the educational purposes of the transferee, is required for use to fill an existing need, and will be used for such purposes within 1 year after it is obtained; and (3) funds are available and will be paid, when requested, to cover cost of care and handling incident to the donation, including packing preparation for shipment, loading, and transporting such property.

    c. PUBLIC AIRPORT. Pursuant to the Act and section 13(g) of the Surplus Property Act of 1944, 58 Stat. 770, as amended, and regulations promulgated thereunder, request is hereby made for the property listed in block 1 2. The transferee agrees that ( 1 ) funds are available to pay the costs of care and handling incident to donation, including packing, freparation for shipping, loading, and transporting such property; and (2) i such property is donated to the transferee it will (a) not be used, sold, salvaged, or disposed of for other than airport purposes without the consent of the Federal Aviation Administration ; (b) be kept in good repair; (c) be used for airport purposes; (d) be appropriately marked as Federal surplus property and will be made available for inspection upon request; and (e) at the option of the United States, revert to the United States in its then existing condition, if all the aforesaid conditions are not met, observed, or compiled with.

    d. STATE AGENCY SERVICE EDUCATIONAL ACTIVITY, PUBLIC AIRPORT, OR DONEE.

    (1) Assurance of Compliance With GSA regulations, under Title VI ofthe Civil Rights Act of 1964, section 606 of Title VI of the Federal Property and Administrative Services Act of 1949, as amended, section 504 of the Rehabilitation Act of 1073, as amended, Title IX of the Education Amendments of 1972, as amended, and section 303 of the Age Discrimination Act of 1975.

    The transferee agrees that (a) the program, for or in connection with which any property covered by this transfer order is acquired by the transferee, will be conducted in compliance with, and the transferee will comply with and will require any other person (any legal entity), who through contractual or other arrangements with the transferee is authorized to provide services or benefits under said program, to comply with all requirements imposed by or pursuant to the regulations of the General Services Administration (41 CFR 101-6.2 or 101.8) issued under the provisions of Title VI of the Civil Rights Act of 1964, section 606 of Title VI of the Federal Property and Administrative Services Act of 1949, as amended, section 504 of the Rehabilitation Act of 1973, ad amended, Title IX of the Education Amendments of 1972, as amended, and section 303 of the Age Discrimination Act of 1975, to the end that no person in the United States shall, on the ground of race, color, national origin, sex, or age, or that no otherwise qualified handicapped person shall solely by reason of the handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the transferee receives Federal assistance from the General Services Administration; (b) this agreement shall be subject in all respects to the provisions of said regulations; (c) this agreement shall obligate the transferee and any other person (any legal entity), who through contractual or other arrangements with the transferee is authorized to provide services or benefits under said program, for the period during which it retains ownership or possession of any such property; (d) the transferee will promptly take, and continue to take, such action as may be necessary to effectuate this agreement; (e) the United States shall have the right to seekd·udicial enforcement of this agreement; and (f) this agreement shall be bin ing upon any successor in interest.

    (2) The transferee agrees that the Government assumes no liability forany damages to the property of the State or donee, any person, or public property, or for the personal injuries, illness, disabilities or death to employees of the State or donee, any other person subject to their control or any other person including members of the general public, arising from or incident to the property use, processing, disposition, or any subsequent operation performed upon, exposure to or contact with any component, part, constituent or ingredient of this item, or substance, or material whether intentional or accidental. The State and/or donee agrees to hold harmless and indemnify the Government for any and all costs, judgment, action, debt, liability costs and attorney's fees or any other request for monies or any type of relief arising from or incident to the transfer, donation, use, processing, disposition, or any subsequent operation performed upon, exposure to or contact with any component, part, constituent or ingredient of this item, material or substance, whether intentional or acciaental.

    STATEMENT OF ADMINISTRATIVE ACTIONS

    2. OFFICIAL SIGNING IN BLOCK 14b AS REPRESENTATIVE OF: a. DEPARTMENT OF DEFENSE. The Department of Defense (DLA or Sponsoring Military Service) has determined that the personal property listed in block 12 1s authorized and approved for donation to the service educational activity in block 1 3a (subject to any interim request by a Federal agency).

    b. FEDERAL AVIATION ADMINISTRATION. The Administrator of the Federal Aviation Administration has determined that the surplus personal property listed in block 12 is essential, suitable, or desirable for the development, improvement, operation, or maintenance of a public airport, or reasonably necessary to fulfill the immediate and/or

    able future requirements of the grantee for the development, improvement, operation, or maintenance of a public airport.

    3. OFFICIAL SIGNING IN BLOCK 14e AS REPRESENTATIVE OF GENERAL SERVICES ADMINISTRATION: The surplus personal property listed in block 12, except any disapproved items, is approved for transfer for donation purposes. Property listed hereon requested for transfer by a State agency is hereby allocated to that State. Such property will be held by the holding agency for a period not to exceed 42 calendar days from the surplus release date pending receipt of pickup or shipping instructions, whereupon it will be released to the donee.

    STANDARD FORM 123 !Rev. 6-821 BACK

    ATTACHMENT 1 PAGE 2 OF 2

  • Dl-10-4 (Rev.6/88)

    UNITED ST A TES DEPARTMENT OF THE INTERIOR

    TRANSFER OF PROPERTY

    INV #2015204418

    Page_1 __ or_1 __

    Report No. I NV#2015204418

    Date 08/11/2020

    Transfer From: (Organization and Complete Address)

    US Fish and Wildlife Service/OLE

    PO Box 856

    Transfer To: (Organization and Complete Address)

    Mexican Gray Wolf Recovery Project

    PO Box 856

    Alpine, AZ 85920 Alpine, AZ 85920

    Appropriation and Accounting Data:

    GPS Telemetry collar returned to MGWRP.

    ITEM NO.

    QUANTITY OR PROPERTY

    ID NO.

    Date Shipped: 08/11/2020

    Authorized Signatur, (b)(6), (b)(7)(C)

    Official Title:

    ITEM DESCRIPTION (Include model &.-serial number)

    One (1) telemetry collar 1390 ST# 701853

    =============NOTHING ELSE FOLLOWS==========

    SHIPPING AND RECEIVING INFORMATION

    Date R�ived: (b)(6), (b)(l)(C)

    Authorized Sign

    Official Title:

    ORIGINAL ACQUISITION COST (OAC)

    N/A

    ------------

    ------------

    CONDITION CODE

    NIA

    ----------------

    ,__

    1--

    Adjustment to property records (Property Official Signature):

    Date Completed Financial Of 1c1iL1 .::,1gnature \II "equueo,: I

    uate completed

    •u.s. GPO, 1990-573-017/27008

    ATTACHMENT 2 PAGE 1 OF 1