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ALL INEORXATION CONTAINED HEREIN IS UNCLASSIFIED DATE 05-25-2017 BY J37385T94 NSICG #14 FD-340 (Rev. 4-11-03) b3 File Number b7E W Fo .Field Office Acquiring Evidence. 17 Serial # of Originating Docament 10- 5 -15 Date Received b3 From b7E (Name af Conlributor/lnterviewee) raress) (City and State) b6 By b7C To Be Retumed Yes N! Yes No Receipt Given Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure. yes No Federal Taxpayer Information (FTI) Yes Title: Mi dyear Exam b3 Jubpitna 1 Rerm. Reterence: b7E (Coninrunication Enclosing Matera) 1 Deseription: Original notes re interview of AL* 1A14 HRC-3720