694930 FD-340 (Rev. 4-1 I-00) File Number Field Office Acquiring Evidence Serial 0 of Originating Document Date Received .03 I From (Name of Cantributorilmerviewee) (Address) a By a_ To Be Returned 0 Yes U240- Receipt Given 0 Yes - Grand Airy Material - Disseminate kyltsuant to Rule 6 (e) Federal Rul