DOJ-OGR-00029147.tif

FD-~-794 FEDERAL BUREAU OF INVESTIGATION Revised eves PAYMENT REQUEST DRAFT TYPE Request Type: Payment Type: Forfeiture or Drug Related?: f Advance commercial I Yes @ expense © Confidential [ Neo INFORMATION ABOUT THE REQUESTING EMPLOYEE Official Bureau Name: (Last, First, Middle) Social Security Number: [Date of Request: 047052007 vs -2 Division: Section: Unit: Telephone Number: File Number: bic -2 3460 / 1295 Squadi-t | S—~*d Miami 3 1E-MM-LOgso62 INFORMATION ABOUT THE REQUESTED PAYEE Social Security or Taxpayer ID Number: Justification: b6 -1 b7e -1 b5 -2 DETAILS ABOUT THE REQUESTED DRAFT Te be completed by Finance Only Catalog: Item Number: Description: : “3 APPROVAL Signature Supervisor: SAC / ASAC / AG / SAS: Supply Technician: Draft Approval Officer: Procurement Authority: _ OBLIGATION PROCESSING Vendor Number: Follow Up Date: Braft Number: Signature-of Cashie EXPENSE PROCESSING Bocument Number: , Draft Number: Signature of Cashier: Date: 03956-2969 SIE-WM -] O80l2-FF5 FD-794 (Revised 10-11-2005} Page 1 of 1 FEDERAL BUREAU OF INVESTIGATION DOJ-OGR-00029147