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oN oof FD-340 (Rev. 4-11-03) : B aul File Number BLE 4 ~ 1096 2.- PES _ ° Field Office Acquiring Evidence - Hh fom, Serial # of Originating Document Date Received o3/ Bf f Ae") b7D -1 From H ‘Ontributor/Interviewee) {Address} (City and State) b6 -2 By oe. b7C -2 ToBeRetumed C1 Yes [No Receipt Given CI Yes (leNo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure C1 Yes Tile No Federal Taxpayer Information (FTI) CI ves ze No Title: Reference: (Communication Enclosing Material) Description: O Original notes re interview of b6 -3 b7c -3 b3 -1 “3956-10745