DOJ-OGR-00030125.tif

_ FD-340 (Rev, 4-11-03) File Number E- ~nyv1- OO 62. “SAG | Field Office Acquiring Evidence M BELA Serial # of Originating Document _.” Date Received Vato From (Name of Contributor/Interviewee} (Address) * i To Be Returned. Receipt Given [] Yes ET No Grand Jury Material - Disseminate Only Pursuant to Rule 6 {e} Federal Rules of Criminal Procedure Fl Yes CrNo Federal Taxpayer Information (FT L] Yes ie Title: Reference: (Communication Enciosing Material) ‘ ec Description: (Original notes re interview of BIC -3 b3 -1 03956-9828 DOJ-OGR-00030125