Precedence: ROUTINE Date: 08/08/2006
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FD-919 (Rev. 06-05-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: ROUTINE Date: 08/08/2006
To: Miami
From: Miami
PB2/Palm Beach County Resident Agenc
Contact: [oT
b6
Approved By: b7Cc
Drafted By:
Case ID #: 31E-MM-108062 (Pending)
. 188B-MM-105207-C (Pending)
Title: VICTIM NOTIFICATION FORM
Synopsis: To document victim information. Please refer to the Victim
Notification System_for the additional pertinent information on the
following victims:
Reference: 31E-MM-108062 Serial 1
Details:
VnsCase#: 31E-MM-108062
CAgtName:
PContact:
BusName
BusEIN
BusAcct
VicFirN : be
VicMidN : bic
VicLastN:
SSAN
VicDate
VicDOD
VicMinor:
DOB
Race
Sex
Df jal WP 2 /E- mm 108 &2A0
— 3
HOUSE_OVERSIGHT 018924
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