DOJ-OGR-00029805.tif

FD-340 (Rey. 4-11-03} FiteNumber__ OD\ E- UM- lOK ObL2. “4 BF Field Office Acquiring Evidence __ LAK Serial # of Originating Document _— Date Received be OLOO From ~ {Name of Contributor/Interviewee} {Address} By ToBeRetumed [1] Yes - [a}-No Receipt Given [2 Yes Lio Federal Rules of Criminal Procedure Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) [] Yes CL] Wo Federal Taxpayer Information (FT) L] Yes Lino Title: Reference: (Comniunication Enclosing Material} Description: C]_ Original notes re interview of ( ~ i I S ——— b6 -3 b7C -3 b3 -1 03956-8712 DOJ-OGR-00029805