EFTA00129937¶
O¶
FD-340 (Rev. 4-11-03)¶
File Number ___ 72-MM-113327-E2A 1A2¶
Field Office Acquiring Evidence ___ MM¶
Serial # of Originating Document ___¶
Date Received ___ 10/29/09¶
From ___¶
(Name of Contributor/Interviewee)¶
(City and State)¶
| To Be Returned | Yes | No |
| Receipt Given | Yes | No |
| Grand Jury Material - Disseminate Only Pursuant to Rule 6(c) | ||
| Federal Rules of Criminal Procedure | ||
| Yes | No | |
| Federal Taxpayer Information(FTI) | ||
| Yes | No | |
Title:¶
Reference:¶
Description: Original notes to interview of FD-472, FD-473 + FD-473a¶