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BY Si ek— FD-340 (Rev. 4-11-03) File Number Field Office Acquiring Evidence n k•-ti1/4A I PscR_A. Serial # of Originating Document Date Received V Pc r\ C) ‘ From (Name or ontnbutor/Intervinee) (Address) (City and State) To Be Returned El Yes • Receipt Given 0 Yes [j --No- Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure 0 Yes 0 —No---- Federal Taxpayer Information (FTI) 0 Yes Title: Reference: • (Comptuniadion Enclosing Material) tion: 0 Original notes re interview of MM12-31E-MM-108062-1A SEC 015 SER 1A132-1A141-000440 CONFIDENTIAL 3501.211-012 Page I of 3 EFTA 00074453 EFTA01248620
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