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ALL INFORLATION CONTAINED HEREIN IS UNCLASSITIEC DATE 05-25-2017 3Y J37385T94 NSICC 1A39 FD340 {Rev. 4-11-03) b3 File Number b7E WFT Ficld Officc Acquiring Evidence. 42 Serial # of Originating Document Date Received 1-19-1b b3 From b7E Name of Contributor/lntcrviewee) (City and Sute) b6 By b7C To Be Returned Yes No Yes DNo Receipt Given Grand Jury Materiai - Disseminate Oniy Pursuant to Rule 6 (e) Federal Rules of Criminai Procedure No Federal Taxpayer Information (FTI) Yes 0N c M:dyeur CALN b3 b7E Reference: Subprnh.. Rehurn Ke (Communicalion Description: Original notes re interview of IA 39 HRC-3849