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FD-340(Rev. 8-18-89) Universal File Case Number_58 C- WF- 1 8O673"IA Field Office Acquiring Evidence Serlal # of Originating Document Date Receivedd APR18100A From (Name of Contributor) (Address'of Contributor) (City-and State) b6 B b7C (Name of Special Agent) To Be Returned Yes No Receipt Given Yes No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure Yes No Title: Phate Brock Oo:wF Reference: (Communication Enclosing Material) Description: Original notes re interview of