EFTA Document EFTA01339372

FD-340 (Rev. 4.11.0)) File Number Field Office Acquiring Evidence hit let PS Cie coo 4.• ."4-•-• nit rvi - I 3D,7- - ,A / Serial El of Originating Document Date Received From 910 (Name of Comrstxmx(Inteivinvcc) S A tistitt_Ct &Ai Aire By WPB , I- SA- (Atkkat) (city and State) To Be Returned 0 Yes le No Receipt Given 0 Yes 14 No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (c) Federal Rules of Criminal Procedure 0 Yes ( No Federal Taxpayer Information