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1. Classification. (AC) comnal 2 {CF) Assat en SOG fae) Criminal OCDETF Case {9¢) Group OPS {AF} FCI Case {OD} oobRr et Group " (ec) Air Operation 5 (SC) informanucw {E) Group? SSG (QD) informan’CW Providing Drug info {F) FCIUCG hy FCI Lookout FD-794 (Rev. 2-7-00) Bratt Request 4. Request tor: b3 -2 | b6 -2 b7C -2 Asset/informant File No. Payment/Code Name : Period Covered to One Time Non-symbo! Source Payment: * True Name: DOB: } } SSAN: Date of Waiver: f { 11. Payynent for reimbursable expense - forteiture or drug related? Supervisor Initials: SACTASAGY AO / SAS Approval: Supply Technician Approval: Draft Approval Officer: TS, Vendor No. es 4? Obligation No. = 18. Oost Cente Pe. SquaRA, £2 0. Follow t 1 | | | i i b3 -2 bé -5 b7¢ -5 EX Me cP on 26. Settlement of Advande: prior month Advance Balance: $ This Advance: -_ f Lesa: Receipts: $ Funds Returred and/or Cash on Hand: $ \— Classification: 03906 “351 Classified By: White Original - Submitted to Corfidential Sarvinae Tint ban Me Bee + ————————— Shaded areas for draft office use only