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: Oeeera Bureau of Sementtgaiton 9? Rutted States Bepartinent of Justice =~: COMPLAINT FORM Address of Subject aE Put Complainant : Character “of Case Date and Time Complaint Received DESCRIPTION OF SUBJECT: . : sng n Sean ty’ By Fs . JkSadvised that he wanted te have on Agent mos Hie ox ps be contd furnish information regarding Ben Siegel: he cleimed he was on A perty. ‘Lie ond could not talk freely as he was afraid veing harmed, Be claims to be from Cha ge ond had knowledge Tae informant talked ration aig wed sad HT act cou Be + him te come te the offies but he refused ,he atxinn inferred that he was