EFTA00129705

## C





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

File Number 72-MM-1133Q7-1A12

Field Office Acquiring Evidence FBI Miamii/WPB

Serial # of Originating Document_

Date Received 11/18/09

Mianu

[Name of Contributor/Interviewee]

[Address]

## (City and State)

By \underline{SA}

To Be Returned □ Yes

Receipt Given □ Yes

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

Federal Rules of Criminal Procedure

Federal Taxpayer Information (FTI)



□ Yes



No



□ Yes





No



Title:

Reference:

<font color="red">(Communication Enclosing Material)</font>



□ Original notes re interview of



Invoice for payment of Stagehand fees/money wire fee and copy of cashiers check for payment

EFTA00129706

ORIGINAL



ORIGINAL