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i ! FD-340 (Rev. 3-8-01) Universal Case File Number Field Office Acquiring Evidence Serial # of Originating Document 2 3 $$ t = Date Received 04 | 112003 b7c -1 t T bIE -3 From Sel (Name of Contributor} {Address of Contributor) By 8) wn 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 Federal Taxpayer Information (FT Yes ED wo Tite: PY DP QA Lipid; Ree YOM CHES -VICTIN Compased iniTPAS ions OOrNY Reference’ (Communication Enclosing Material) b6é -6 on {ia {woz ve -s FBI(19-cv-1495)-2067