ofCustody-ELSUR Evidence Envelope
(Rev 847-00
Enclosure: 513 Original O Duplicate O Enhanced Original
Medium: 0 Magnetic Tape O Computer Disk O Printed Material
Case File/:
ID#: 1D-6
Case Agt.:
Tape/Disk#:
Agt. Supervising Title III Intercepts:
O Court Authorized Intercept - Souree/Symbolti:
54 Consen sual Monitoring Intercept - CM# (if assigned):
pg Teleph
(4441-_97fii
onic (TCM) 0 Nontelephonic (NTCM)
If NTCM Specify Device Used:
O Recording ofan Interview
O Volunteered/Subpoenaed Medium - Not FBI ELSUR
O Other Type of Recording/Interception, Specify:
Intercept Date: /0/Th . 0 CI Place: ki 51 Pc,lin AtA(.‘t i FL
Data Transferred for Permanent Storage - Date: /0 a-6"/o 9 Time: 9 :apt",
O Consensual: List Intereeptces Below 0 Court Authorized: Enter " See Log" Below
e _ iewkietr 6 a.eiley echourch
VA/ire, Afm1 uC
Signature:
Signature:
Date: f Time: t
Date:
Reason: rSvi'dtAGC Reason:
Signatu
Date: ime:
Signatur,e: r
t - Date: a I ime:
Reason: _124.1-4:144-e, Reason: .-c2rceAwye:
8118 1VEIT ttilaine inn(
IA
It
Signature
lam _ Time:
is .6 AgS,1 Date:
Reason: MOI
Signature:
Signature:
Date: Time: Date: Time: _
Reason:
Reason:
1111g71811,11
•
t(ii tflso Jo ntrauttnitmad
EFTA00008489