DOJ-OGR-00030158.tif

oe acca ace acento et oe FD-340 (Rev. 4-11-03) File Number ‘si te - Hi?) - / O€ ( Ko 2.2 IH Ib Field Office Acquiring Evidence iWin i e Rc C Serial # of Originating Document Date Received (a= a) b6 -5 From b7C -5 nnn nnn (Address) a : b6 -2 = b7c -2 By Sy To BeRetumed [] Yes Cine Receipt Given [] Yes CT No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure CT Yes Erno ~ Federal Taxpayer Information (FTI) C1 ves Er No ” Title: Reference: ‘ (Communication Enchsing Material) ” 1 ipinal notes re interview of 03956-10584 DOJ-OGR-00030158