EFTA00129948 FD-340c (4-11-03) File Number 90A-N4-3151227 Field Office Acquiring Evidence Serial # of Originating Document 72
| 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 | |