40 (Rev. 4-1 File Number Field Oflies Acquiring Evidence ( ES -C..4" Serial II of Orienting Document Date Rooted 0 (g er r Prom l-ttily ((e lc or Conoiburar/Inteirvierree) (Address) By D To Be Returned 0 Yes Receipt Given 0 Yes Grand Jury Material - Disseminate Only Pursuant to Rule 6