FD-340 (Rev. 4.11.03) File Number Tie- now- ibe 84,a. Field Office Acquiring Evidence fil Pk. Serial # of Originating Document Date Received From P4/p9/P-04)—> Vow cluArrer (Name of Contributor/Interviewee) (Address) (City and State) By s-4. To Be Returned 0 Yes ErNo Receipt Given El Yes GI, No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure K Yes Er No Federal Taxpayer Information (1.11) El Yes ra/ No Title: Reference: b6 b7C (Commit:anon Enclosing Material) Description: 0 Original notes re interview of EFTA00791127