Fd-340 (rev. 4-11-03) [efta00004231]

FD-340 (Rev. 4-11-03) File Number Field Office Acquiring Evidence Serial # of Originating Document 11 0 5 Date Received -7/r712o grad Edward s (Name of Contributoriinterviewee) (Address) State) To Be Returned K Yes Receipt Given Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federa...