EFTA00130029

1A42





FD-340c(4-11-03)

File Number 90A-1N4-3151220

<table border="1"><tr><td>Field Office Acquiring Evidence</td><td></td></tr><tr><td>Serial # of Originating Document</td><td></td></tr></table>

Date Received 8-15-2019

| Name of Contributor/Interviewee |

|---------------------------------|

|

<font color="red">(Address)</font>

(City and State)

To Be Returned □ Yes No

Receipt Given □ Yes No

Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure

Federal Taxpayer Information (FTI)

☐ Yes ☑ No

Title: Unsubstance; Jeffrey Epstein - Victim; Death Investigation

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



1047