Serial # of Originating Document fl Date Received V Ga) ari..*--.S From (Name otCoran todlniervinte) (Address) (City and State) By 0-g To De Retuned 0 Yea • Receipt Given 0 Yes O -1C Grand fury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure 0 yes O-T