EFTA00129652



C


PD-340 (Rev. 4-11-03)

File Number 72-MM-113327 -1A3

Field Office Acquiring Evidence ___

Serial # of Originating Document ___

Date Received 11/4/2009

**From**

(Name of Contributor/Interviewee)

[Address]

## (City and State)

By \underline{S/A}

To Be Returned ☐ Yes ☐ No

Receipt Given □ Yes □ No

Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e)

Federal Rules of Criminal Procedure

☐ Yes ☐ No

Federal Taxpayer Information (FTI)

☐ Yes ☐ No

Title:

Reference:

Description: Original notes re interview of $\textcircled{1}$FD-597 signed Alfredo Rodriguez