y ma. Pee eft gle -guife to8obti lit to Field Office Acquiring Evidence kivt. Serial If of Originating Document Slitig " 58 tot ^ It/ e Ivo*, OrAdcrr P 7e Retched From (Address) By Wiry State) To Be Returned 0 Yes -Ent Receipt Given 0 Yes ICJ No Grand Jury Material - Disseminate Only