94133 FD-340 (Rev. 411.03) File Number i Field Office Acquiring Evidence Ylet Serial A of Originating Document Dare Received From (Name of Connibutorfintaviewee) (Address) (City and State) By To Be Returned 0 Yes 0 No Receipt Given 0 Yes 0 No Grand Jury Material - Disseminate Only Pursuant to Rul