" ‘*
i al FD-919 (Rev. 06-05-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: ROUTINE Date: 08/08/2006 To: Miami From: Miami
PB2/Palm Beach County Resident Agenc
Contact: [oT
b6
Approved By: b7Cc Drafted By:
Case ID #: 31E-MM-108062 (Pending) . 188B-MM-105207-C (Pending)
Title: VICTIM NOTIFICATION FORM Synopsis: To document victim information. Please refer to the Victim
Notification System_for the additional pertinent information on the following victims:
Reference: 31E-MM-108062 Serial 1
Details:
VnsCase#: 31E-MM-108062
CAgtName:
PContact:
BusName
BusEIN
BusAcct
VicFirN : be VicMidN : bic VicLastN:
SSAN
VicDate
VicDOD
VicMinor:
DOB
Race
Sex
Df jal WP 2 /E- mm 108 &2A0 — 3
HOUSE_OVERSIGHT 018924