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FD-340 (Rev. 7-29-92) Universal Case FileNumber_ ss FA. (MP YY F¥XY Field Office Acquiring Evidence ___/ IP Serial # of Originating Document Date Received / o “ a 7] - From | | {T) P i i 5 {Name of Contributor) b6 (Address of Contributor} DIC “7 and State} ame of Speciat Agent} To Be Returned G Yes WNo Receipt Given C Yes Y No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rutes of Criminal Procedure O Yes i No Title: ; Unsuiol 5) ; bE -V, Chey b7C yh hon Reference: (Communication Enclosing Material} | Description: ( Original notes re interview of ~ be | DOC A (2c eeed aes a BIC