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eis mado Evidence Receipt Form ) 1-233 (Rey. 9-17-56) (To be used in liew of correspondence &. evidence submissions ta the L. F. P. S.) J Submitting Agency __DIVISION 6 S2c Delivered by __Mr. Div. 6 Date 9-20-63 Accepted By Ranels L.F.P.s.¢ 45563 Suspects ae BRIEF FACTS COVERING CASE J 11 Le co aL. Moo Rejrt to be direct to Sn QUIN Zee Copies to Evidence to be returned to iy — Date of hearing, grand jury, trial or reason why expeditious handling is necessary EVIDENCE (THIS SPACE FOR BLOCKING)