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a ia FD-340 (Rev. 4-11-03) File Number : pal a Ss) 7/AI2 Field Office Acquiring Evidence Mm| Peck Serial # of Originating Document —~— —______$______-_-__ | Date Received — Veber bo GE ' i From _ ; ; ; | ee. sibutor/Interviewee) ‘ ~ { (Address) ~ _ s " ‘City and State) ToBeRetuned LC] Yes - Cio Receipt Given [1 Yes ENS Grand Jury Materia - Disseminate Only Pursuant to Rute 6 (e) Federal Rules of Criminal Procedure 1 Yes Dito Federal Taxpayer Information (FTI) O Yes Exo Title: Reference; {Comniunication Enclosing Material) Ye ‘ . Description: [4 Original notes re interview of bé -3_ 4 b7C -3 § b3 -1 03956-8515