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hillary-r -clinton — Part 07
Page 12
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SESRET
O3NI IES
CLASSIFIEC BX: HSICC J76118T80
REASON: 1.4 (C)
CECLASSIFY ON: 12-01-2041
DATE: 11-21-2016
I453
FD340(Rev. 4
b3
b7E
File Number
WF
F1eld Officc Acqulring Evldence
<4!
2016
60
Serial # of Originating Document
Date Received
From
(Name of Contributor/Intcrviewee)
{Address}
(City and Stle)
b6
SA
b7C
By
To Be Returmed
i 0 Yes
Receipt Given
Yes
No
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
Yes
0I No
Federal Taxpayer Information (FTI)
NO
Yes
b1
S1
b3
b7E
MIsHANDLING oF CLASSCFzE
Reference:
(Communicalion Enclosing Material)
interview of
b6
b7C
1453
HRC-1442
SEERET
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