Chain-of-Custody Log (brief):
1) Received: [PLACEBO_RECEIVED_DATE_TIME]
2) Printed/Scanned: [PLACEBO_SCAN_DATE_TIME]
3) Filed: [PLACEBO_COURT_FILE_DATE]
Notes on Use: This header/footer is intended to accompany the exhibit in physical and electronic filings. Do not redact source metadata unless required by court order. If the exhibit is modified or redacted, annotate changes and re-certify chain-of-custody above.
Signature/Custody Acknowledgment:
___________________________
[PLACEBO_NAME / TITLE / DATE]
Exhibit QR / Barcode (Optional):
[PLACEBO_QR_BARCODE]
Location: Page 1 of [PLACEBO_TOTAL_PAGES]
EXHIBIT ID:
[PLACEBO_EXHIBIT_ID]
HEARING/RECEIVED: [PLACEBO_HEARING_DATE]
FILED: [PLACEBO_FILED_DATE]
OFFICIAL EXHIBIT TITLE:
[PLACEBO_COURT_ADMITTED_NOTICE]
SHORT DESCRIPTION / NATURE OF DOCUMENT: [PLACEBO_SHORT_DESCRIPTION]
SOURCE / ORIGIN
[PLACEBO_SOURCE_ENTITY]
CHAIN-OF-CUSTODY
[PLACEBO_CHAIN_OF_CUSTODY]
AUTHENTICITY / RELIABILITY
[PLACEBO_AUTHENTICITY]
STATUTORY / ISSUE TAGS:
[PLACEBO_TAG_1]
[PLACEBO_TAG_2]
[PLACEBO_TAG_3]
ATTACHMENT STATUS / NOTES:
- Original: [PLACEBO_ORIGINAL_LOCATION]
- Copy Submitted to Court: [PLACEBO_COPY_SUBMITTED]
- Photocopy / Scan ID: [PLACEBO_SCAN_ID]
- Served to Opposing Counsel: [PLACEBO_SERVED_METHOD_DATE]
CERTIFICATION BY SUBMITTER:
I hereby certify under penalty of perjury that the foregoing is a true and accurate copy of the document described above and that the chain of custody and origin stated are accurate to the best of my knowledge.
/s/ [PLACEBO_SUBMITTER_NAME] — [PLACEBO_DATE]
Clerk Use Only
FILED / STAMPED: [PLACEBO_COURT_STAMP]
Docket No: [PLACEBO_DOCKET_REF]