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National Security Letters — Part 1
Page 19
19 / 1188
U.S. Department of Justice
Federal Bureau of Investigation
Washington, D.C. 20535-0001 =—=~*~“‘“‘“‘“*‘“‘“‘S~OW*‘C~*;W
[DRAFTING DIVISION]
[STREET ADDRESS]
(CITY, STATE, ZIP CODE)
[MONTH, DAY, YEAR]
ALL INFORMATION CONTAINED
(MR. /MRS./MS.] [Complete name] HEREIN IS UNCLASSIFIED
{TITLE, IF AVAILABLE] DATE 06-07-2007 BY 65179 /DMH/KSR/RW
[NAME OF COMPANY]
[PHYSICAL STREET ADDRESS - NO P.O. BOX] 1076786
{CITY, STATE - NO ZIP CODE]
Dear [MR./MRS./MS.] [LAST NAME]:
Under the authority of Executive Order 12333, dated
December 4, 1981, and pursuant to Title 18, United States Code
{U.S.C.}, Section 270% (Section 201 of the Electronic
Communications Privacy Act of 1986) (as amended}, you are hereby
directed to provide to the Federal Bureau of Investigation (FBI)
the name, address, and length of service with respect to the
following telephone number(s}:
{provide either or beth - 1) person(s) to whom the
telephone number(s) is/was registered and/or 2) the
telephone number(s} ]
[NAME OF PERSON(S) ]
[TELEPHONE NUMBER(S) (000) 000-000)}:
{RELEVANT TIME PERIOD]: [ON SPECIFIC DATE]
or [FROM [SPECIFIC DATE] to
[SPECIFIC DATE] or (PRESENT! }
If the time period noted above is to the "present,"
that term is intended to direct production of information to the
date of the processing of this letter. If providing information
to the date of processing is not feasible, please provide
information to the date of receipt of this letter.
In accordance with Title 18, U.S.C., Section ?709ib), I
certify that the information sought is relevant to an authorized
investigation to protect against international terrorism or
clandestine intelligence activities, and that such an
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