quiring Evidence Serial ti of Originating Document —Si /39 Date Received / 0/02./.7-o en . From (Name of ContributortIntavievecc) (Address) (City snd State) By 54- To Be Returned 0 Yes EiKNo Receipt Given 0 Yes ErNo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of