d Office Acquiring Evidence 2 I E-0101 - OW jM o3 0\0\ i711QQA Serial II of Originating Document Date Received • \.) 0 4' i0“ -S. From (Name of Ccmenbatailntervirste) (Address) (Cite ad State) By S+ \A.LieLm&a,k1 To Be Returned O Yes enlo Receipt Given O Yes 9 —sro- Grand Jury Material - Disseminate On