DOJ-OGR-00029823.tif

FD-340 (Rev. 4-11-03) File Number B\ & nn -lOS OCR 4/09 | é Field Office Acquiring Evidence __{ } Lf AN | ~ Ne ( A~ . Serial # of Originating Document__. Date Received N OX LOAN ’ ~~ From —__ (Name of Contributor/Interviewee) {Address} _ b6 -2 b7C -2 By To Be Retumed [] Yes © ; Receipt Given (CI Yes Erno Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure C1 ves Dee Federal Taxpayer Information (FTT) LI Yes C1 No—— Title: Reference: (Communication Enclosing Material} Description: [-—Uriginal notes xe interview of b6 -3 b7c -3 03956-8880 | DOJ-OGR-00029823