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o) FD-340 (Rev. 4-11-03) File Number 3] E-MM-) OF 0&6 2 HI Field Office Acquiring Evidence Serial # of Originating Document Date Received O2/ 22 <f 2.929 Z From > Yt sa ‘ f \) ZX f 2. ’ (Name of Contributor/Interviewwee) (Address) b6 By To Be Retumed [] Yes No Receipt Given C Yes CT No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure : CI Yes CYNo Federal Taxpayer Information (FTI) CI Yes lo Title: Reference: (Communication Enclosing Material) . Description: r~orgmarnorestetmerview of 03956-10734 b7C -2 -2