FD-340 (Rev. 4.11.03)
FD-340 (Rev. 4.11.03)
File Number Tie- now- ibe 84,a.
Field Office Acquiring Evidence fil Pk.
Serial # of Originating Document
Date Received
From P4/p9/P-04) —>
Vow cluArrer (Name of Contributor/Interviewee)
(Address)
(City and State)
By s-4.
To Be Returned 0 Yes ErNo
Receipt Given El Yes GI,No
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure
❑ Yes Er No Federal Taxpayer Information (1.11)
El Yes ra/ No
Title:
Reference: b6
b7C
(Commit:anon Enclosing Material)
Description: 0 Original notes re interview of
EFTA00791127