FD-340 (Rev. 4-11-0)) • File Number Field Office Acquiring Evidence 312— \AM: 103 0(oz.. 1-mA Serial # ot Originating Document Date Received Jper% kit) S From (Mime o(toatnbularantavicsta) Taal:Returned O Yes • Receipt Given C:1 Yes 0.4413.— Grand Jwy Material - Disseminate Only Pursuant t