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Amerithrax — Part 15
Page 87
87 / 102
FD-34(XRev. 4-1 1-03) * .
File Number Fe 222 9 36
Field Office Acquiring Evidence
Serial # of Originating Document y
Date Received ‘ / : = 4
From , = his
(Name of Contributof/Interviewee)
fo _
Opies) ae
ASity and State)
By
No |
Receipt Given [1 Yes [I No %
Grand Jury Material - Dissemirigfe Only Pursuant to Ruleé (c)
Federal Rules of Criminal Progedure
To BeRetumed LI] Yes
[1 Yes CI No
Federal Taxpayer Informatfon (FTI
O ¥és [] No
Team
Title: ? ww
oNcLbs
YO _E@
(Communication Enclosing Material)
Reference:
a
Description: CO Original notes re interview of
Gu INFORMATION CONTAINED ~
HEREIN IS UNCLASSIFIED ‘ \ ‘ Ps
ATE LZ-12-2008 BY 60324 UC BAW/DE/RYS
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