Never had the "evil" side of the perk, but the fingers go to some kind of association (can't remember the name) which is in the northeast part of the map. You sell them for about 10 caps each.
You get caps and experience for selling the fingers to the head of the Regulators if your good. I haven't done the Contract Killer perk though, so I don't know about the evil side to it.
With the good perk for fingers trade them in to regulators at Regulators HQ I think it was. And sell ears to some business guy in ScrapyardI think, he in a small room
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