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National Security Letters — Part 1
Page 222
222 / 1188
U.S. Department of Justice
Federal Bureau of Investigation
Washington, D.C. 20535-0001
DRAFTING DIVISION]
[STREET ADDRESS]
[CITY, STATE, ZIP CODE)
[MONTH, DAY, YEAR]
ALL INFORMATEON CONTAINED
[MR./MRS./MS.] {COMPLETE NAME OF POC] HEREIN IS UNCLASSIFIED
[TITLE, IF AVAILABLE] PATE 06-06-2007 BY 65179 DMH/KSR/IU
[NAME OF COMPANY)
{PHYSICAL STREET ADDRESS - NO P.O. BOX) 1076786
{iCITY, STATE - NO ZIP CODE]
Dear (MR./MRS./MS.] [LAST NAME]:
Pursuant to Executive Order 12333, dated December 4,
1981, and 15 U.S.C. § 1681v of the Fair Credit Reporting Act (as
amended), you are hereby directed to provide the Federal Bureau
of Investigation (FBI) with a copy of a consumer credit report
and all other infcormation contained in your files for the below-
listed consumer(s):
NAME (S) :
ADDRESS (ES): [if available)
DATE(S} OF BIRTH: [if available]
SOCIAL SECURITY NUMBER(S): [if available]
In accordance with Title 15, U.S.C. § 1681lv, I certify
that the information sought is necessary to conduct an authorized
investigation of, or intelligence or counterintelligence
activities or analysis related to, international terrorism.
(Certification: The nondisclosure requirament is not an automatic
feature of tha NSL. If the supporting EC for thia NSL included
Option 1 (Invoking the Nondisclosure Requirement), then include
the language in the following 3 paragraphs in the NSL.]
In accordance with 15 U.$.C. § 168lv(c){1), I certify
that a disclosure of the fact that the FBI has sought or obtained
access to the information sought by this letter may endanger the
national security of the United States, interfere with a
criminal, counterterrorism, or counterintelligence investigation,
interfere with diplomatic relations, or endanger the life or
physical safety of a person. Accordingly, 15 U.S.C. §
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