ce Acquiring Evidence 31 E- PASAA - Oto (?---- //i/P57 Owv\. /Pee_a_i4- Serial # of Originating Document \) tn.; t Date Received From (Marne of ContrIbutorilmerviewce) (Address) (City and State) By Sk To Be Returned O Yes - Etic7 Receipt Given O Yes Dino Grand Jury Material - Disseminate Only Pursuant to R