DOJ-OGR-00030067.tif

FD-340 (Rev. 4-11-03) Flie Number 31E Emm teYobn Ag Field Office Acquiring Evidence AR Serial # of Originating Document act Date Received OS/ Ff Zor From _ {Name of Contributor/interviewee) {Address} (City and State) BB -2 wy sof CP To Be Retumed [1 Yes No Receipt Given Yes LE] No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (¢) Federal Rules of Criminal Procedure {] Yes kK] No Federal Taxpayer Information (FTI) EF) Yes i No Title: y Reference: (Communication Enclosing Material) Description: [ Original notes re interview of b6 -3 20 or Let fers , fog e an = b7C -3 | find. F h—- r, b3 -1 03956-9429 DOJ-OGR-00030067