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ALL INEORATION CONTAINEL HEREIN IS UNCLASSIFIED DATE 06-23-2017 BY J37385T94 NSICG 1a33 FD-340 {Rev. 4-t1-03} -GJ : b3 File Number b7E 3b Serial # of Originating Document 12-21- 2015 Date Received b3 From (Name of Contributor/Intcrviewee) : - (Address) City and Stale b6 By b7C To Be Retumed Yes No Yes ONO Receipt Given Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure yes No Federal Taxpayer Information (FTI) Yes M.dyea b3 Reference _Jubpgtns Respunse fom b7E (Communication Enclosing Material) Original notes re interview of Deseription: b3 b7E LA33 HRC-4295