Jeffrey_Epstein_Part_04_of_08_p0038.png

FD-340 (Rev. 7-29-92} Universal Case File Number . OF OG? “Ht q Field Office Acquiring Evidence Serial # of Originating Document Date Received [) <> From Vi j=e0 (Name of Contributor) | {Address of Contributor) 2 eee 3 bé -2 b7c -2 To Be Returned [1 Yes 0 No Ve Receipt Given ( Yes 01 No Grand Jury Material - Disseminate Only Pursuant to Rule 6 {e) Federal Rules of Criminal Procedure D Yes O1No te Title: : ; ye Reference: . (Communication Enclosing Material) Description: 7 Tew of 03956-1681