DOJ-OGR-00030159.tif

FD-340 (Rev. 4-11-03) File Number 3 i (org “(nth } OLGG2_~)F It Field Office Acquiring Evidence 7 h yry G K Cit \. Serial # of Originating Document Date Received oS é a8 b7D -1 From ibutor/Interviewee) (Address) b6 -2 By b7C -2 To Be Retumed 1 Yes [7 No Receipt Given LO Yes C] No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure LI Yes C] No Federal Taxpayer Information (FTI) C) Yes Cl No Title: Reference: . (Communication Enclosing Material) Description: igi STS TECHIE Ciaae 03936-10592 DOJ-OGR-00030159