FD.340 (Rev. 4-11-03)

FD.340 (Rev. 4-11-03) File Number C 310 I.We 3027S71 0 Field Office Acquiring Evidence 10 7 Serial # of Originating Document Date Received Ei (21201, From (Name of Connibutortintaviewee) (Address) (City and State) By To Be Returned 0 Yes No Receipt Given 0 Yes Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure se 0 Yes rC No Federal Taxpayer infomiation.(FTI) 0 Yes 1No Title: 9(9=0, leFfee/ Reference: (Communication Encbsing Material) Description: 0 Gas' inal notes re interview of EFTA00257807 FD-597 (Rev 8-11-94) Page UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION Receipt for Property Received/Returned/Released/Seized File # 31e- NY- 30,27671 On (date) g 1/2 2 /201f (Name) Chris ?..Y. ID\ irk (Street Address) Li m c)ce. Int -Xcelvt.o_C )a-va (City) O. • V4 la el.4,9 item(s) listed below were: O Received From O Returned To o Released To yr Seized Des