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National Security Letters — Part 1
Page 79
79 / 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]
[MR./MRS./MS.] [Complete name]
{TITLE, IF AVAILABLE} ALL [HFORMATION CONTAINED
[NAME OF COMPANY] HEPEIN IS UNCLASSIFIED
[PHYSICAL STREET ADDRESS - NO P.O. BOX] DATE &6-07-zZ007 BY 65179 DMH/KSR/IW
{[CIT¥Y, STATE ~ NO ZIP CODE]
1076786
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
{U0.$.C.), Section 2709 (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 email/IP account (s):
[provide either or both - 1) person(s) to whom the email/IP
address(es) is/was registered and/or 2)the email/IP address(es)
[NAME OF PERSON(S) ]
(EB-mail/IP ADDRESS(ES) ]
[ON A SPECIFIC DATE]
or
(FOR THE PERIOD 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 2709(b), 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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