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Michael Jackson — Part 02
Page 4
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R
FD-340 (Rev. 3-801)
62D- LA - 2360%.1 -cA0T-1AL
Universal, Case.File Number
Field Office Acquiring Evidence
LA
Serial #of Originating-Document
12
4/5/2004
Date Received
From
(Name of Contributor)
CART HQ
(Address of Contributor)
To.BeReturned Yes
No
b6
Receipt Given Yes.
X No
b7C
Grand' Jury.Material - Disseminate Only Pursuant to Rule 6 (c)
Federal Rules of Criminal Procedure
Yes
X] No
Federal Taxpayer Information (FTI)
Yes
RNo
-Tite: M CUneL TOE TACKSON,
DPc
Reference
(Communication.Enclosing.Material)
Description:
Original.notes re interview of
List of All specimens
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