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ALL INEORATION CONTAINED HEREIN IS UNCLASSIFIED DAIE 06-23-2017 BY J37385T4 N5ICG Fl.340 (Rev. 4-1103) -G b3 File Number b7E Ficld Officc AcquirIng Evidence _iF 37 Seriat # of Orlginating.Document. Date Received 12-21-2015 b3 From b7E utor/lntcrviewee) (Address) City and State b6 By b7C CNo To Be Retuned Yes No Receipt Given Yes Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure. Yes No Federal Taxpayer Information (FTI) No wvX3 dn3hp!N b3 SupprtnaRetury... b7E Reference: (Communicalion Enclosing Matcrial) Original notes re interviewof Description: b3 Records related b b7E 1A34 HRC-4301