DOJ-OGR-00029148.tif

t FD-794 Revised 10-11-2005 FEDERAL BUREAU OF INVESTIGATION PAYMENT REQUEST DRAFT TYPE Request Type: Payment Type: Forfeiture or Drug Related?: |Catalog: @ Advance © commercial | 1%! Yes cw ( Expense © Confidentia! |[7i No INFORMATION ABOUT THE REQUESTING EMPLOYEE Official Bureau Name: (Last, First, Middle Date of Request: 05/01/2007 bé6 -2 Sacoy izes sen Telephone Number: —__|File Number: BIC -2 3460 / 1295 Squad L~1 | = ssts~séBLEE“MM-'.08062 ENFORMATION ABOUT THE REQUESTED PAYEE : Social Security or Taxpayer ID Number: Division: Miami ustification; b5 -2 DETAILS ABOUT THE REQUESTED DRAFT To be completed by Finance Only Catalog: Description: Amount: | [Certified Copies of Corporate Records b6 -2 es Pag oo DIE -9 Total: ate Supervisor: O SAC / ASAC / AO / SAS; . . Supply Technician Draft Approvai Officer: Procurement Authority: OBLIGATION PROCESSING Vendor Number: Group Number: Obligation Number; Follow Up Date: 7 ee Signature of Cashier: Date: SETTLEMENT OF ADVANCE Prior Month Advance Balance: This Advance: Less: Receipts: Funds Returned and/or Cash on Hand: Amount to be Reimbursed: 03956-2980 EXPENSE PROCESSING 3)/E-WMV-] D8 0b7- ppb FD-794 (Revised 10-11-2005) Page 1 of i . FEDERAL BUREAU-OF ——- DOJ-OGR-00029148