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Paes ..-. EVIDENCE RECEIPT FORM (To be used in Lisu of ce. ovondence covering evidence s_ yoione to the S. F. F. S.} Submitting agency_ Civil Servier Gomicsion NT Victim Offense fanperine with Nacistered alk becormts S.F.P.S. # oP yf Place and date Suspects wn _ . BRIEF FACTS COVERING CASE: = ——_—_——_—_—_ = 8 ke he Ate ated te be Fo ou, ui o a Gor I Report to be directed to rede Us Carroll, Glyll service Conmmission | ith Rerional Nistrict, Temp "2" Building, Room 2033, iashineton, HD. GC. ee Copt:s to \; ‘Bvidance to be returned to . \pats of hasring, grand jury, trial or rosson why expeditious handling is necessary EVIDENCE THIS SPACE FOR BLOCKING 7 OA