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FD-340 (Rev. 4-11-03) File Number we \ Sc “nin ~0fO (4 2c Ey Field Office Acquiring Evidence __. a Mm f e G c& 4 Serial # of Originating Document : ad Date Received OG / a7 L204 ] From Cy , (Name of Contributor/Interviewee) To. Be Retumed > Yes No Receipt Given (]. Yes Cnt Grand Jury Materiat - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure. . . - 0 Yes ET No Federal Taxpayer Information (FT) DO Yes (to Title: Reference: (Communication Enchsing Material) Description: Kis Original notes te taterview OF b6 -2 b7C -2 bé -3,-5 b7C -3, b3 -1 03956-7270 -5 § i I i t |