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FD-340 (Rev. 4-13-03) File Number 3i€-mm- toyoon — \A¥ Field Office Acquiring Evidence Aas Serial # of Originating Document ast Date Received OS/ /P/ Zor From _ (Name of Contributor/interviewec) {Address} (City and State) bE -2 ToBeRetumed 1 Yes No Reéeipt Given El Yes D No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure {] Yes EK] No Federal Taxpayer Information (FTI) DB Yes E4No Title: : ¥ Reference: (Communication Enclosing Material) Description: [] Original notes re interview of 20_ pre toa rr teed Prone b6 -3 | b7C -3 | and Fa- WA b3 -1 03956-9429