EFTA Document EFTA01338366

FD-340 (Rev. 4-1)-03) File Number -7a-.1.1- //13 .22 Field Office Acquiring Evidence intit Serial II of Originating Document Date Received From ///o;/2 00, (Name of Contnbutoran (Address) By .S4 (City and State) To Be Returned 0 Ycs S No Receipt Given 0 Yes a No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure 0 Yes WI No Federal Taxpayer Information (FTI) 0 Yes 111 No Title: Reference: (Communication Enclosing Mat