DOJ-OGR-00029289.tif

lan la FD-340 (Rev. 4-11-03) . | | File Number ____ ~ M = 6 62-43 | Field Office Acquiring Evidence ___ W@A A | PRc kA | | Serial # of Originating Document __~ Date Received _ Viacvou Sy From (Name of Contributor/interviewee) - (Address) Pb6 - 2 Ph7c - 2 To Be Retumed [] Yes - EKNo ~ ReceiptGiven ] Yes itNo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure C] Yes Ci Ne— | Federal Taxpayer Information (FTI) Li Yes L1Noe-—— | Title: | f A * Reference: (Comniunication Enclosing Material) a Description: eo Sriginel notes re interview of ( ele racaen4an' , leon Hops -1 b6 - 3 } * aes = ; j OuIA wi ) Arce Aaa CIM A OF A tares | DOJ-OGR-00029289