DOJ-OGR-00029411.tif

[RE RA RPE SE ee PR A RIE TE I me A rm ee ra Am QU pl I j C oC | 4 vw FD-240 (Rev. 4-11-03} ] File Number iS S MA A- lOSOb2 13/02 . x Field Office Acquiring Evidence f Serial # of Originating Decument _— i Date Received &CLO | ib Frem . 4 {Name of Contributor/interviewee) | . {Address} ~ ‘ . : "4 : CO ve bic -2 By oa 7 ToBeRetuned CI Yes - -El-No Receipt Given [J] Yes _ CYNo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e} Federal Rules of Criminal Procedure “Yes [3-yNe—- Federal Taxpayer Information {FTD | OO Yes tie —_ | Title: Reference: - - * (Communication Enclosing Material} . % en , : Deseriptiqn: {1 Original notes re interview of , i A ONL ) a — b6 -1 b7Cc -1 7 — % tn + . i Sar nn ce aa tf . ( _. 03956-6834 DOJ-OGR-00029411