DOJ-OGR-00029049.tif

e. oY rp794 @ FEDERAL BUREAU OF wes rion evise PAYMENT REQUEST 10-11-2005 DRAFT TYPE Forfeiture or Drug Related?: |Catalog: im Yes iw No Request Type: Payment Type: € Advance @ Commercial @ Expense ™ Confidential File Number: 31E-MM-1080 62° Telephone Number: __| Number; INFORMATION ABOUT THE REQUESTED PAYEE Pass han feca Seu or Taxpayer ID Number: Justification: panier royer cartridge needed for use in case preparation immediately preceding travel tof | To be completed by Finance Only Catalog: {tem Number: Description: Amount: bIE -$ APPROVAL Supervisor: ail ZAlf Pe wD) bic -2 SAC / ASAC / AO / SAS: Supply Technician: Draft Approval Officer: FAG A] Procurement Authority: DETAILS ABOUT THE REQUESTED DRAFT OBLIGATION PROCESSING GoI94 2D Ani DEOL AL TN gi Bey" PED Pye Fife Sig nature of Cashier: Date: Failow 5 Date: EXPENSE PROCESSING si Aft Number: Signature of Cashier: Date: if Y-a2-y "GS, bono PART J Received y } ) DRAFT | Ble-anm \OWbggogM4 bo, FD-79¢4 (Revised 10-4 1-20055- Page iofi FEDERAL BUREAU OF INVESTIGATION DOJ-OGR-00029049