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National Security Letters — Part 1
Page 251
251 / 1188
U.S. Department of Justice
Federal Bureau of Investigation
Washington, 0. C. 20535-0001
[DRAFTING DIVISION]
{STREET ADDRESS]
[CITY, STATE, ZIP CODE]
(MONTH, DAY, YEAR]
(MR./MRS./MS.} [COMPLETE NAME OF POC]
{TITLE, IF AVAILABLE]
(NAME OF COMPANY] ALL INFORMATION CONTAINED
(PHYSICAL STREET ADDRESS - NO P.O. BOX] HEREIN IS UNCLASSIFIED
{CITY, STATE - NO ZIP CODE] DATE 06-06-2007 BY 65179 DMH/KSR/J0
DEAR [MR./MRS./MS.] [LAST NAME]: 1076786
Under the authority of Executive Order 12333, dated
December 4, 1981, and pursuant to Title 15, United States Code
(U.S.C.), Sections 168lu(a) and 168lu(b) (the Fair Credit
Reporting Act, as amended), you are hereby directed to provide
the Federal Bureau of Investigation (FBI) the names and addresses
of all financial institutions (as defined in Title 12, U.S.C.,
Section 3401) at which the below-named consumeris) maintains or
has maintained an account and to provide the names, address,
former addresses, places of employment, or former places of
employment of the below-named consumer (s}:
NAME (S}:
ADDRESS (ES): {if available]
DATE(S) OF BIRTH: [if available]
SOCIAL SECURITY NUMBER(S): {if available]
PLEASE DO NOT PROVIDE THE FULL CREDIT REPORT, AS THAT IS NOT
BEING REQUESTED OR SOUGHT.
In accordance with Title 15, U.S.C., Sections 168lu(a)
and 1681lu(b), I certify that such information is sought for the
conduct of an authorized investigation to protect against
international terrorism or clandestine intelligence activities,
and that such an investigation of a United States person is not
conducted solely on the basis of activities protected by the
First Amendment to the Constitution of the United States,
[Certification: The nondisclosure requirement is not an automatic
feature of the NSL. If the supporting EC for this NSL included
Option 1° (Invoking the Nondisclosure Requirement), then include
the language in the following 3 paragraphs in the NSL.]
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