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hillary-r -clinton — Part 14
Page 9
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ALL INFORLATION CONTAINED
HEREIN IS UNCLASSIDIEC
DATE 08-17-E017 3Y J37J85T94 NSICC
FD-340 (Rev. 4-1103)
b3
Fite Number
b7E
Seriat # of Originating Document
Date Received
Z -X3-Zs[y
b3
From
b7E
(Name of Contributor/Intcrviewee)
(Address)
(City and State)
b6
By
b7C
To Be Returned
Yes
[] No
Kb No
Receipt Given
Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
(D)Yes
No
Federal Taxpayer Information (FTI)
I No
Yes
Midyeur Exam!
b3
Retun
b7E
Reference:
(Communication Enclosing Material)
Description:
b3
Sbpoena.. Retun
b7E
IA46
HRC-5039
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