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(— (— FD-340 (Rev. 4-11-03) . File Number 3 S. = ~ 6 “2. 7) 123 Field Office Acquiring Evidence £ Cc fs Seria] # of Originating Document DateReceived WACtaAn Ge From (Name of Contributor/interviewee) (Address) (City and State) By To Be Retumed ia Receipt Given TD Yes Grand Jury Maierial - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure {1 Yes Dexa Federal Taxpayer Information (FTI) CI Yes Chao Title: Reference: {Comniunication Enclosing Material) boa Description: Oo Original notes re interview of 03956- 5-244 b6 -2 b7C -2 bé -3 A b7Cc -3 b3 -1