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Federal Burean of Investigation Muited States Bepartment of Justice COMPLAINT FORM bre BEN SIEGEL Agen i Subject's Name and Aliases — Name of Complainant “ Los Megas Office - S.LeF.De Address of Complainant Address of Subject Telephone Number of Complainant Character of Case Date and Time Complaint Received FACTS OF COMPLAINT: Agent’ called to state that he received the following info. n ‘bo Agent stated that this may account for the fact that poe Siegle moved from Room #01 to room #412 in the Lat’ Frontier Hotel on 7-30-16 (If additional space needed use reverse side) ACTION RECOMMENDED BY AGENT: : , 7 Route to Agent OsTyecr yore. ee, Harvey G. Berkey DISPOSITION BY SAC: Special Agent Open New Case: Assign to Agent Assign to P.D. Befdr Route to Agent No Action Necessary: jn File In