EFTA00006107.pdf

FBI - Miami 
Name/Squad: 
16320 NW 2nd Avenue 
N. Miami Beach, FL 33169-6508 
FOR INTERNAL USE ONLY 
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lir:INew York City := Washington Field 
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CLASSIFICATION LEVEL 
(CHECK ONE) 
UNCLASSIFIED, NOT SENSITIVE 
=SENSITIVE, BUT UNCLASSIFIED 
°CONFIDENTIAL 
° SECRET 
ATTENTION: 
Ala 11bantemen I Prop= 
5/11 
EFTA00006107

Complaint Form 
FD
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Surrounding text: Complainant [|] Protect Source eel. (i Oieetate ‘Tats i.

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