EFTA00790326 C FD-340 (Rev. 4.11-03) File Number a I F_ - ii1/4AIR.- [ M ?o ce)_z —114 1/ I Field Office Acquiring Evidence FA.R i Poc,e. -4- Serial # of Originating 7 ocument ., Date Received 13c r 0 us From (Name oltontributorrIntervievite) (Address) By S A (City and State) To Be Returned 0 Yes • B —