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Anna Nicole Smith — Part 1
Page 8
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FD-340 (7-19-00)
Universal Case File Number 4} -LA- 237335- Pe
Field Office Acquiring Evidence =
Serial # of Originating Document I )
Date Received _ _1 10 fi et he 2 t.
(Name eof Contributor)
(Address of Contributor)
_ PORTAGE WE
(City and State)
bE
By b7c
ToBeRetumed [I] Yes ern
ReceiptGivan U1 [pom
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (©)
Federal Rules of Criminal Procedure
C1 Yes a
Federal Taxpayer Information (FTI)
[1 Yes er
Reference:
(Communication Enclosing Material)
Description: [1 Original notes re interview of
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