FEDKRAL BUREAU OF INVESTIGATION
FOI/PA
DELETED PAGE INFORMATION SHEET
FOI/PA# 1468393-0
Total Deleted Page(s) = 1
Page 26 ~ Duplicate;
XAXAKAKKAKAKAKAKKKMKKKAKKKK
Xx Deleted Page(s) Xx
Xx No Duplication Fee X
Xx For this Page Xx
XAXAKAKKAKAKAKAKKKMKKKAKKKK
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b7cCase ID: 279B-PD-52473
1 PD 1 ! OREGON STATE LABORATORY REPORT & CHAIN OF CUSTODY
1 PD 2 | ORIG. INT.NOTES:
1 BD 3 1 ORIG.INT.NOTES & CALLING CARD OF
! PD . 4 ! CRIME SCENE PHOTOS ON CD; CAPTAIR PYRAMID ENCLOSURE CERTIF; |!! _1 FD597-ENVELOPE RECEIVED FROM !
1 D7 ‘5 {| LAB#HO90310024 EU ADMIN NOTES 9 PAGES ECU CHECK IN 1 PGS CU !! __! CHECK IN 2 PGS RESULTS SUMMARY 1 PG NOTES 2 PGS IR DATA 4 1! ~ | PGS GC/MS DATA 10 PGS SEM DATA 3 PAGES COPY OF REPORT 2 PGS |!
1 PD 6 | SERIAL 12! INTERVIEW NOTES
1 D7 7 | LAB#090310024 65 PGS NOTES 1 CD CHAIN OF CUSTODY !! / | COMMUNICATION AND ACTIVITY LOG NOTES INSTRUMENT PRINT OUTS $!! | CHARTS GRAPHS ECS SEARCH SLIP !
1 D7 8 ! LABHO90310024 1 PG WORKSHEET 3 PG REQUEST FOR EXAM 1 CD 3 PG !_ 1 COC 1 PG COMM AND ACTIVITY LOG 7 PG NOTES 21 PHOTOS
1 D7 9 | LAB#090310024 16 TOTAL PGS COC COMM AND ACTIVITY LOG NOTES |!! ! ECS SEARCH SLIP SHIPPING INVOICE
1 PD 10. ! LAB WORKSHEET, SECONDARY EVIDENCE LOG, DNA SAMPLE !! | PROCESSING RECORD, AND SHIPPING INVOICE FOR !
| 1B1, 1B2, 1B3, 1B4 1
1 PD 11 ! SERIAL 26: FD-192'S FOR 1B1 AND 1B4 !! ! FD-192 FOR 1B3 AND LATENT PRINTS (USE TO BE 1B3) !
! ! !ee ee eeeee ee ee eee ee eeeeeeeALL INFORMATION CONTATNED oe
! I , HEREIN IS UNCLASSIFIED 1
DATE 04-29-2011 BY 60322 DCLP¢SPLISIN_ _ _
ALL INFORMATION CONTAINED
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DATE 04-29-2011 BY 60322 UCLF/PLI/IN
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FR-340Rev,109 /FiteNumber QuULR- PY —-3“3SA
Fleld Office Acquiring Evidence _ FORCASS _
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Page 1 of 1
21084 Tuesday February 24 2009 7:43 AM
FBIALL INFORMATION CONTAINED
1500 SW 1ST HEREIN IS UNCLASSIFIEDPORTLAND. OR 97201 DATE 04-29-2011 BY 60322 UCLP/PLI/IN ORIGINAL
Report No. 1b6éb7c
Patient Information
~ Patient Name: BT EVENT, MULTNOMAH CO Date Collected: 02/20/2009
Chart Number: Date Received: 02/20/2009
Age/Birth Date: Initial report date: 02/24/2009
Gender: Previous report Date: 02/24/2009County of Residence: Multnomah Date of this report: 92/24/2009
Site: PHL ID No.: MMC2009000317
StudyID: Specimen source: EnvelopeContact/Physician: Portland FBI
MNIC2009000317 Misc. Microbiology Result for BT EVENT, MULTNOMAH CO
BTInvestigation No B. anthracis, Francisella tularensis, or Yersiniapestis
—— IDNA detected
: INo Brucella spp., Burkholderia spp., or Ricinus
comminus (plant) DNA detectedNo ricin toxin detected by TRF assay
No Growth of B. anthracis, Francisella tularensis orYersinia pestisNo Growth of Brucella spp. or Burkholderia spp.
No Orthopox DNAdetected
Comments:
Called results to submitter, 02/23/2009.
Copy has been sentto the patient's county of residence.Copy has been sent to State Epidemiology Office.
Protecting the public’s health since 1903 !
Department of Human Services Phone: 503-693-4100 PhD, MPHOregon State Public Health Laboratory Fax: 503-693-5600 Laboratory DirectorPO Box 275 Location: 3150 NW 229th Ave, Ste 100Portland, OR 97207-0275 Hillsboro, OR 97124-6536 Rev:05#10/2002 &
OREGON STATE PUBLIC HEALTH LABORATORY
ALL INFOREATION CONTAINEDCHAIN OF CUSTODY HEREIN IS UNCLASSIFIED
DATE 04-29-2011 BY 60322 DCLP/PLI SIN
TRACKING/CASE ID NUMBER \AWC-04 — OOS\+bé
Page 1 of { b7c
ORGANIZATION RECEIVED FROM: al
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Date Collected:
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DATE 04-25-2011 BY 6032¢2 UCLPYSPFLUSIN
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Email: Bcs.comwww.scientology.org
BALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED
ATE 04-29-2011 BY 60322 UCLP/SPLY SIN
> ALL INFORMATION CONTAINED ]
HEREIN IS UNCLASSIFIED
DATE 04-25-2011 BY 6032¢2 UCLPYSPFLUSIN
FiteNumber 27B-D-52475 —Field Office Acquiring Evidence fr —
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www.erlab-dfs.com
Quality Control Certificate
Captair Pyramid Enclosure
Model: R200 A Captair PyramidSerial Number: 2 2) 44
ERLABcertifies that this product is delivered in accordance with applicable manufacturing specifications.
This Captair Pyramid wasindividualy tested. ERLAB verified that the pyramid airtightness is in compliance with the manufacturer
specifications. The control procedure was conducted at a pressure of 0.05 psi, and this pyramid successfully passed the quality
control tests.
Tested by: ERLAB Quality Assurance Manager
ALL INFOREATION CONTATHED at,
HEREIN IS UNCLASSIFIED
DATE 04-29-2011 BY 60322(i22 UCLESPL sI
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UNITED STATES DEPARTMENT OF JUSTICEFEDERAL BUREAU OF INVESTIGATION
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FD-340 (Rev. 4-11-03)
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7-2 (Rev. 7-10-06)
_ Federal Bureau of InvestigationLaboratory Division
LABORATORY WORK SHEET
b6b7C
To: Portland Date: March 17, 2009Sqy ad 10
: SAI Case ID No.: 279B-PD-52473
Lab No.: 090310024 PF
Reference: Communication dated March 2, 2009
Your No.:
Title: CHURCH OF SCIENTOLOGY; MeEEINTstieLasettie1208 SW 13TH AVE; DATE (04-29-2011 BY 60322 UCLE/FLI/IN
PORTLAND, OR - VICTIM
02/20/2009
Date specimensreceived: March 10, 2009
Specimens:
Ql Envelope addressed to Church of Scientology of Portland (1B1, E4215756)
Q2 Letter (1B1, E4215756)
Q3 Unknown substance (1B1, E4215756)
NEI FedEx envelope (1B1, E4215756)
Page 1 of 1
Secondary Evidence Log
Lab #:__090310024 Date: 08/03/2010
K/Qs Quantity Description
Ql 7 photographs oflatent prints
ALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED
DATE 04-29-2011 BY 60322 DCLP/PLI SIN
Instructions:Ifthere is not a one-to-one correspondence between Ks, Qs, and quantity of
secondary evidence, use a separate line for each K and Q that lacks one-to-one correspondence.Attach copies of this secondary evidence log to the Chain-of-Custody Log (7-243) and theShipping Invoice.
COPY
DNA Analysis Unit I
DNA Sample Processing Record
601 Casework Appendix B
Laboratory Number(s): O¢OS\002N_ VF ASYvolte
Case ID Number: 279B-PDP- S275
ALL INFOREATION CONTATHED
HEREIN IS UNCLASSIFIED
DATE 04-29-2011 BY 60322 UCLEYPLI/IN
Items Delivered By
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7-264 (7-7-06) a _FBI Laboratory Shipping Invoice Mail-Room StampsFederal BureauofInvestigation2501 Investigation ParkwayQuantico, VA 22135
Date: 08/24/2010
To: ALL INFORMATION CONTAINEDFBI oo. HEREIN IS UNCLASSIFIEDAttn: ECT DATE 04-29-2011 BY 60322 UCLP/PLI/IN
Crown PlazaBldg.1500 1st Ave., Suite 401
Portland, OR 97201
Telephone Number: (903 y 224-4181(Recipient)
Carrier: Classification Level:
FedEx Unclassified-Not Sensitive
r] USPSRegistered L_] Unclassified-Sensitive[| Other Confidential
Secret
Special Services:
LC] Saturday Delivery CJ Return Receipt (USPS only) C] Fragile Material* [] Perishable Material*
L] Hazardous Material* ? (Packagedby: Date: . }(Signature)
*asterisked items must be described below
Description of Contents:
Qi1-Q3NE1nDNAsecondaryLPU secondary
Declared Value $900)0
(Required for International Shipments)
FBI File #: Lab #(s): 279B-PD-52473 090310024 PF
Tracking Information: Point-of-Contact Information:
Name: Ext, 8096
Unit: ECU Rm: 1267
| Initials of preparer: cac
o *ALL INFORMATION CONTAINED
fC) HEREIN IS UNCLASSIFIED
FD-340 (Rev. 4-11-03)
File Number ~~\QS-SD) - GSR, > NEN
Field Office Acquiring Evidence PD
Serial # of Originating Document Mp
Date Received ___\e-\C> —Wo
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Federal Taxpayer Information (FTI)
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Description: (1 Original notes re interview of
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03/02/09 ICMIPRO117:28:18 FPD-192 Page 1
Tigle and Character of Case:
CH OF SCIENTOLOGY
Date Property Acquired: Source from which Property_Acauired-:OREGON PUBLIC HEALTH LAB
03/02/2009
bé6bic
Anticipated Disposition: Acquired By: Case Agent:
Description of Property: Date Entered1B 1
ONE ZIPLOCK BAG CONTAINING AN INNER ZIP LOCK BAG AS WELLAS A FEDERAL EXPRESS ENVELOPE AND CHURCH OF SCIENTOLOGYENVELOPE WITH AN UNKNOWN POWDER
Barcode :EU2z\s3 7 s7. Location: E@se_ 03/02/2009
@ ALL INFOREATION CONTAINED
HEREIN IS UNCLASSIFIED
DATE 04-29-2011 BY 60322 DCLP/PLI SIN
Case Number: 279B-PD-52473Owning Office: PORTLAND
FD-1004 FEDERAL BUREAU OF INVESTIGATION b6
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Printed Name:DATE 04-29-2011 BY 60322 UCLF/PLI/IN Printed Name:
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09/30/10 ICMIPRO117:18:00 FD-192 Page 1
Title and Character of Case:
CHURCH OF SCIENTOLOGY
Date Property Acquired: Source from which Property Acquired:FBI LAB (RECD FED EX 4525 0320 8431)
08/25/2010 b6b7c
Anticipated Disposition: Acquired Bv: Case Agent:
Description of Property: Date EnterediB 4
PLASTIC BAG WITH PILLBOX LABELED 090310024 EO Q3 CONTAININGUNKNOWN SUBSTANCE
Barcode: H4413769 Location: ECR 09/30/2010
ALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED
DATE 04-29-2011 BY 60322 UCLFSFLISIN
Case Number: 279B-PD-52473
Owning Office: PORTLAND
4 é
FD-1004Revised
9-16-2009
Evidence Type: GeneralO CART
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DATE 04-29-2011 BY
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09/30/10 ICMIPROL17:17:57 FD-192 Page 1
Title and Character of Case:
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- Date Property Acquired: Source from which Property Acquired: béFBI LAB (RECD FED EX 4525 0320 8431)
08/25/2010b7Cc
‘Anticipated Disposition; Acouired By:
Case Agent:
Description of Property:1B 3
Date Entered
7 PHOTOGRAPHS OF LATENT PRINTS
Barcode: E4413768 Location: ECR 09/30/2010
ALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED
DATE 04-25-2011 BY 60322 UCLFSFLISIN
Case Number: 279B-PD-52473
Owning Office: PORTLAND
o
FD-1004Revised
9-16-2009
FEDERAL BUREAU OFINVESTIGATIONEVIDENCE CHAIN-OF-CUSTODY
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Case ID: 277 g RPh2 47 3 1B: <3
Date:
Barcode: EOGY12TAX
Federal Bureau of Investigation
FBILaboratory2501 Investigation ParkwayQuantico, VA 22135
Official BusinessPenalty for Private Use $300
FBI LABORATORY NUMBER
Aorlooay
Latent Print Operations UnitSecondaty Evidence
| ALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED
DATE 04-25-2011 BY 60322 UCLFSFLISIN
eShae ALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED
DATE O4-29-2011 BY 60322 UCLF/PLI/IN
ALL INFORMATION CONTAINED
HEREIN Is UNCLASSIFIED
DATE 04-29-2011 BY 60322 UCLFSFLISIN
LABORATORY
ALL INFORMATION CONTAINED
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DATE 04-25-2011 BY 60322 UCLE/SFLIST
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ALL INFORMATION CONTAINED
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DATE 04-25-2011 BY 60322 UCLPSFLISIN
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