le Number "."‘ — I VO Field Office Acquiring Evidence Serial # of Originating Document Date Received From An. - afl 037/ 2/2e I/ (Name of Cowibuiorfmwiewce) (Address) By S t To Be Returned 0 Yes El No Receipt Given Ill Yes 0 No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Fede