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Spiro Agnew — Part 5
Page 40
40 / 158
Evidence Receipt (to be used in lieu of correspondence covering evidence submissions to the Laboratory)
7-16 (6-9-55)
£
Agency submitting evidence
O |
AF SPieg tee) POH. detest
Delivered by Accepted by
A Ro ebar EE [Lupe 5A hw. [lach
Suspect Victim
vile en
Offense Place and date of offense
Pee p> — —s foe
ASS PuT on LCase. oF US) 1 DG0. Coltwwiary brs Yr
Brief Facts covering case
Dn LG [7~ , Lyf lrenembn (Pot rm PF Attrug obit at Vs rs,
Ppenins Car. bed” pie, eof te lint pile blige y
CG form Chitectsitatidy J) iar ariel) ca,
Laboratory #
Ay pv
0478
Evid. located
Room # Wee
, Prev. exams this case Report to be directed to
: CL
, ob Yes [| No
re) ies to
Evidence to be returned to
om,
WFO LJ FO
te of hearing, grand jury, trial, or reason why expeditious handling is necessary
——
idence
2 ‘Ceae WINI6w oF LIT Meher
‘
Ry
‘
, AY
te
ao
(This space for blocking
gen 8] 7S 7g —/S
16 JUN 871972
C130
wodun 15 872
(Use reverse side if necessary for additional evidence)
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