DOJ-OGR-00029439.tif

FD-340 (Rev. 4-11-03) File Number 3 \E-WM - 16062. “A Joy Field Office Acquiring Evidence VVWVVA / PR CRA Serial # of Originating Document Date Received — Veaviog NS From {Name of Cont utor/Interviewee) {Address} To Be Retumed 1 ¥es - ErNo Receipt Given [1 Yes CrNo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure Fl Yes. AKio Federal Taxpayer Information (FT) _ Cl Yes EXNo ~ Title: : . . Reference: F. (Comptisnication Enclosing Material) uf Description: (Original notes re interview of . : b6 -3 bic -3 03956-7109 , ° DOJ-OGR-00029439