Document date 1982AIDates: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
The scan is the source; the transcript is machine-generated from it.
FD-340 (Rev. 4-23-82)
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Field File No. PD UA-41
OO and File No. SE UA-81 - 1A(780)
Date Received ___________
From ___________
(Name of Contributor)
(Address of Contributor)
(City and State)
By ___________
(Name of Special Agent)
To Be Returned☐ Yes Receipt Given☐ Yes
☐ No ☐ No
☐ Yes Grand Jury Material - Disseminate
☐ No Only Pursuant to Rules 6(e),
Federal Rules of Criminal
Procedure