EFTA00130012





90A-NJ-3151227

File Number

Field Office Acquiring Evidence New York

From ___ $\Delta C$.

[Name of Contributor/Interviewee]

[Address]

(City and State)

To Be Returned □ Yes ☑ No

Receipt Given □ Yes □ No

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

Federal Taxpayer Information (FTI)

☐ Yes ☐ No

Title:

Reference:

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

Description: Original notes re interview of