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Date: ______________________

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FBIRecord/Information Dissemination SectionAttn: FOIPA Request170 Marcel DriveWinchester, VA 22602-4843

Dear FOIA Officer: ______________________

This is a enchantment beneath the Freedom of Advice Act.

Date ambit of request: ______________________

Description of request: ________________________________________________________________

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___________________________________________________________________________________

___________________________________________________________________________________

Please chase the FBI’s indices to the Central Annal System for the recommendation acknowledging to this enchantment accompanying to:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

I’m accommodating to pay as much as [$____ ] for the processing of this request. Amuse acquaint me if the estimated charges will beat this absolute afore processing my request.

I’m gluttonous recommendation for claimed use and never for bartering use.

Thank you in your consideration,

Name: ______________________________________________________________

Title (non-compulsory): ________________________________________________________

Business (if relevant): _________________________________________________

Street Address: ________________________________________________________

City/State/ZIP Code: ____________________________________________________

Country (if relevant): __________________________________________________

Telephone (non-compulsory): ___________________________________________________

E-mail (non-compulsory):_______________________________________________________

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