im Signet Print 541 I I I :Ls Sign= Printed ct I iii24 Reason: 411401 2-0 (PC Reason. • elgrp - i 71•-• /3iftv2 Firearm Certification by (FUSWA1)/ Explosive Material Certification by (SABT): Printed Name: Signature: Date: Case ID: eblit -• as' I 21:" ATF Trace Form Completed: 0 NCIC: 0 III: 3q Barcode: GC( GeVoz3