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FD-340 (Rev. 4-11-03) File Number Sie - nv \— lox F~ "ff 23 Field Office Acquiring Evidence mm" V \ — e SAE Serial # of Originating Document (Address) To BeRetumed C1 Yes No Receipt Given CO yYes Wa Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure O Yes ET No Federal Taxpayer Information (FTI) O Yes E-no Title: Reference: (Communication Enclosing Material) Description: ‘El originalnotesseinterviewof ; A b6 -3 03956-10742