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jeffrey-epstein — Part 19
Page 67
67 / 75
FD-340 (Rev, 4-11-03)
31 E-MM- 108062 - 1A93
File Number
Field Office Acquiring Evidence _YA / PBC RA
Serial # of Originating Document ..
Date Received
From
(Namc of Contributor/interviewee)
(Address)
(City and Statc)
b6 -2
B
b7C -2
To Be Returned
Yes
I No-
Receipt Given
Yes
No
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
Yes
0No
Federal Taxpayer Information (FTI)
Yes
ONo
Titie:
Reference:
(Communication Enclosing Matcrial
Description:
Original notes re interview of
Biosrgohisal, fil
b6 -3
b7C
-3
b3
-1
03956-97803
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