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FD-340 (Rev. 3-8-01) Universal Case File Number Field Office Acquiring Evidence Serial # of Originating Document Date Received { O —6 -O From : b3 -2 (Name of Contributor) b6 -1 b7c -1 bITE -3 (Address of Contributor) By ToBeRetuned [1 Yes bx No Receipt Given [1 Yes in No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure [i Yes x No Federal Taxpayer Information (FTI) D3 yes A wo * Title: Apeita LAMO owl verte Tives—VeT iy He pater \WTHs 007 “Reference: (Communication Enclosing Material} b6 -6 bIC -6 Tal 106-03 EBL(19-cv-1495)-258