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FD-473(Rev.7-18-88) Zo0O (Date) ORLANDO,fLon{oA (Location) (Name) (Address) hereby authorize and Special Agents.of the b6 b7C b7D Federal Bureau of Investigation, United States Department of Justice, to place a Body Recorder on my person for the purpose of recording any conversations Transmitter with 4/20ho00 which I may have on or about (Date) I have given this written permission to the above-named Special Agents voluntarily and without threats or promises of any kind understand that I must be a party to any conversation in order to record that conversation. I therefore agree not to leave the recording equipment un-attended or take any other action which is likely to result in the recording of conversations. to which I am not a party. Witnesses: b6 ,b7C b7D toa/igs