CASE NUMBER AO5A 11-(1-Pi 4200 .000H DISPOSITION ORDERED (check one) DESCRIPTION OF ITEM IIII /ETURN 0 DESTROY o OTHER (spec/4) LOG 4t ig ..keil-akt ienteslinl %ant 11 EVIDENCE RETURNED NAME AND SIGNATURE OF SPECIAL AGENT N E OF O CEIVING EVIDENCE R URNING THE EVIDENCE DATE AND SIGNATURE OF