FD-340 (Rev. 4-11-03) File Number Grg itleillirlateSMIY edJury ma. Pee eft gle -guife to8obti lit to Field Office Acquiring Evidence kivt. Serial If of Originating Document Slitig " 58 tot ^ It/ e Ivo*, OrAdcrr P 7e Retched From (Address) By Wiry State) To Be Returned 0 Yes -Ent Receipt Given 0 Yes ICJ No Grand Jury Material - Disseminate Only Pursuant to Rule Federal Rules of T9n.t. al Procedure 'Feder Title: !tam irr (Name of Contributor/In ShO, 51-'n -sLatc-4 PEc_ (_,\/ — 10/2. EFTA00277520