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ALL INFORKATION CONTAINEDS HEREIN IS UNCLASSITIEC DATE 08-17-2017 3Y J37385T94 NSICC FD-340 (Rev. 4-11-03) b3 File Number b7E Ficld Office Acquirlng Evldence. .WF Seriat # of Originating Document 210-14 Date Received b3 From b7E (Name of Contributor/Intcrviewee) {Address} (City and State) b6 By b7C To Be Returned Yes XNo Receipt Given Yes No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure W Yes No Federal Taxpayer Information (FTI) Yes CXNo GJswbpotna Responst to b3 Reference: b7E (Communication Enclosing Material)e Deseription: Original notes re interview of HRC-5020