DOJ-OGR-00029621.tif

FD-340 (Rev, 4-11-03) File Number = Me ~ _ / Field Office Acquiring Evidence Mul Peace a _ Serial # of Originating Document __~ Date Received _ VAC aAYDS | From {Name of Contributor/Interviewee) s {Address} ~ wy (City and State} bB -2 By oe . 1 b7C -2 ToBeRetumed [] Yes - EINo Receipt Given [Cl Yes [Kio Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure Ty Yes [Ne Federal Taxpayer Information (FTD ‘ L Yes CNS Title: Reference: €Comniunication Enclosing Maicrial) ! Ne Description: Z Original notes re interview of R | ‘Gaver. AOA aa OQ f 6 -3| ie b7c -3 os b3 -1: 03956-8335 DOJ-OGR-00029621