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a co i FD-216 aid ' C NY 100-111180 ae er sem ae . hea —_—t. at} ADMINISTRATIVE PAGE YCONSTBRUTIAL Date of Activity Agent to File Number Identity And/or Description Date whom where of Source of Information Received Furnighed Located At New York, New York Will maintain eontact with and report pertinent information furnished by informants and sources having know- ledge of the activities of subject and his associates, REFERENCE: Report } oo. Ss QE 5 29/5, sew york O7C \ con TA tas