DOJ-OGR-00029149.tif

» FD-794 f FEDERAL BUREAU OF nvesricar Revised 10-11-3008 ; PAYMENT REQUEST ; DRAFT TYPE Request Type: Payment Type: Forfelture or Drug Related?: - jCatalog: © Advance CH Commercial Y. Yes C Expense C Confidential |J™ No INFORMATION ABOUT THE REQUESTING EMPLOYEE Official Bureau Name: (Last, First, Middle} Social Security Number: Section: Unit: 3460 / 1295 sqadit [sd INFORMATION ABOUT THE REQUESTED PAYEE _ Name; : pe Security or Taxpayer ID Number: Justification: b5 -2 Date of Request: 05/01/2007 File Number: BIC -2 3LE-MM-LO8062 Bivision: Miami DETAILS ABOUT THE REQUESTED DRAFT To be completed by Finance Only Catalog: Description: Amount: Certified Copies of Corporate Records Ree. a b7E Total: Date Supervisor: o SAC / ASAC / AO / SAS: Supply Technician: Draft Approval Officer: Procurement Authority: OBLIGATION PROCESSING Squad or RA: Document Number: ae / pB-2 Signature of Cashier: Date: Vendor Number: Follow Up Date: Cast Center: Drait Number: SETTLEMENT OF ADVANCE Prior Month Advance Balance: This Advance; Less: Receipts: Funds Returned and/or Cash on Hand: Amount to be Reimbursed: EXPENSE PROCESSING Draft Number: Signature of Cashier: BIEMM -|O$Olp 2 - EF ~cLas5-she6! FD-794 (Revised 10-11-2005} Page 1 of f . FEDERAL BUREAU OF INVESTIGATION Document Number: DOJ-OGR-00029149