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FD-340c(4-11-03)
File Number SOD— NV— 3 07-7 5- 71
Field Office Acquiring Evidence
P4 M
Serial # of Originating Document
-4-02
Date Received
/ 7 0 2-ci
From a
-a-1
'
mm of ContributonloUrviewee)
(Address)
Alai Le
,
(City and Stale)
By
4
lb Be Returned 0
Yes
Er No
Receipt Given 0
Yes
[3 No
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
O Yes
No
Federal Taxpayer Information (F71)
O
Yes
Er No
ilde:
€psttrn, J effrey
Reference: irlia/?od
(Commtmialdas Eadosiog Mantis])
Description:
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