UNCLASSIFIED

UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION CHS REPORTING DOCUMENT Form Classification: Source Id: Date: Case Agent Name: Field Office: Squad: Date of Contact: Participants/Witnesses: Type of Contact: Location Country: City: State: Date of Report Substantive Case File Number: Source Reporting: UNCLASSIFIED S-00023871 2010-11-26 Jacksonville 10 2010-11-15 In Person UNITED STATES Jacksonville Florida 2010-11-26 31E-MM-108062 Source information received to date on • Division on 11/26/2010 re 31E-MM-108062. UNCLASSIFIED referred to Miami EFTA00269862