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; te FD-794 (Rev, 2-7-00) or ___, — (AC) Criminai Case! (GA) sos (CF) Asset (AD) Criminal OCDETF Case BS} Group Il UCO (GB) OF {AF} FCI Case DD) OCDETF Group II (GC) ae Operation (BC) Informanucw be Group | (KH) SS (BD) informantiCW Providing Drug info. {F} FCIUCO (J} _FCt Lookout fee Cn Memes Pieaioanie L 10. Justification: Asset/Informant File No. Symbol No. Payment/Code Name Period Covered to One Time Non-symbol Source Payment: True Name: DOB: / / SSAN: Date of Waiver: / / 11. Payment for reimbursable expense - forfeiture or drug related? Yes ».___No 12. Requested by: en a 14, : Approval Supervisor Initials; ——»—___ SAC7/ ASAC / AO / SAS Approval: 4 __* Supply Technician Approval: Draft Approval Officer: Procurement Authorization: [ 22. CONF “COMM __ 28. Cashier: } 26. Settiement of Advance: Prior month Advaries Balance: $ This Advance: Legs: Receipts: $ oo, Funds F Returned and/ or: Gash on Hand: $ : oo 03956-349 . Amoi 2 23 ass: Heim 1 ¢ 5h | a OT — . a = . bé 27. Document No ee Fy . pie Shaded areas for draft office use only A} Classification: Classified By: Blue Copy - Administrative/Case File Declassify on: o/b-NM-/0¥ 0Ol2=- Ov