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x FD-340 (Rev. 4-] 1-03) File Number - cal E-~WY-lO%OCA 43 Field Office Acquiring Evidence wn Pr Ce _ Serial # of Originating Document _~ Date Receives - Varwug From : 4 . (Name of Contributor/Interviewee) | \ {Address} . N 2 (City and State) b6 -2 By : b7C -2 , ToBeRetumed [] Yes - EYNo Receipt Given {1 Yes ENG Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure . ~ EF Yes Erno ° Federal Taxpayer Information (FTI) O Yes Erne” Title: ° x Reference: {Comniunication Enclosing Materiat} 7 . Description: : Original notes re interview of b7C -3 ' d b3 ml oh. - 4 pos . ee me 03956-6992 Wremceitce me oe att ae ate oe crn .