By Date Received From FD•340 (Rev. 4-11-03) File Number Field Office Acquiring Evidence Serial # of Originating Document V A-0 \ (-1-O a S (Kant of Contributor/Intennevite) (Address) (City and State) To Be Returned K Yis • Err; Receipt Given K Yes Ergo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e