FD-340 (Rev. 4-11-03) File Number ^rant — et Field Office Acquiring Evidence Serial 0 of Originating Document Date Received Gs 7/2 21 peon. /ai From (NamsoMontributorlInteniewee) (Addrees) (City and State) By To Be Returned 0 Yes CVNo Receipt Given 0 Yes ffeNo Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure ❑ Yes Federal Taxpayer Information MO 0 Yes Tide: Reference: (Celitimattication Ear-bung Iteeziel) Description; DKOriginal - notes re interview of MM19-31E-MM-102082-1A SEC 008 SER 1A52-1A78-000051 CONFIDENTIAL 3501.167-014 Page I of 9 EFTA 00070321 EFTA01247461 EFTA01247462 EFTA01247463 EFTA01247464 EFTA01247465 EFTA01247466 EFTA01247467 EFTA01247468 EFTA01247469