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ALL INFORATION CONTAINED HEREIN IS UNCLASSIEIEC DATE 08-18-2017 3Y J37085T94 NSICG 1451 FD-340 (Rev.4-11-03) G b3 File Number b7E WF Field Officc Acquiring Evldence 53 Serial # of Originating Document Date Received 3.9-2000 b3 From b7E Name ot Contribulor/Intcrviewee) {Address) (City and State) b6 By b7C To Be Retumed Yes Receipt Given Yes QNo Grand Jury Materia! - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure Yes No Federal Taxpayer Information (FTI) Yes N Midyear Eyam b3 b7E Reference..G.uhprwa Respunee. (Communication Enclosing Malera) Deseription: b3 b7E 1A57 HRC-5359