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ALL INFORMATION CONTAINED HEREIN IS UNCLASSIFIED DATE 06-23-2017 BY J37J85T94 NSICG IA3Z FD-340 {Rcv. 4-11-03) b3 File Number b7E 35 Serial # of Originating Document Date Received 10-15-15 b3 From b7E (Name of Contributor/lntcrviewee) Address) (City and State) b6 By b7C To Be Returned Yes No Receipt Given Yes no Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Crimina! Procedure Yes No Federal Taxpayer Information (FTI) Yes No Mrd year Eyurrl Suhpstsu Renm. b3 Reference: b7E (Communication Enclosing Malerial) Original notes re interview of Deseription: b3 Suniena.Rerum b7E IA3Z HRC-4291