Jeffrey_Epstein_Part_02_of_08_p0026.png

Classification, {AC) Criminal (CF) Asset ¢ {GA) SOG {AD) Criminal OCDETF Case (OC) Group If UCO (GB) OPS (AF) FCI Case (OD) OCDETF Group II (GC) Air Operation (BC) Informantc' (E} Group | (H) (BD) Informer Providing Drug info. (F) FCLUCO: {J) _ FGI Lookout FD-794 (Rev, 2-7-00) Draft Request 3. Request for: ( )Advance (Expense = : = b3 -2 inne a SFleNey dey aaa Item No . Description . Amount 2 * 93 04 05 - 06 07 _ 9. Total $ 10. Justification: Asset/Informant File No. Symbol No. Payment/(Code Name Period Covered One Time Non-symbo! Source Payment: True Name: : / SSAN: Date ofWaiver: // 12. Requested by: ; © Approval Supervisor Initials: —_—>.-__. SAC /ASAC’/ AO / SAS Approval: s/ -___» Supply Technician Approval: —____. Draft Approval Officer: Procurement Authorization: 15, Vendor No, a BocumentNo; T | oT "| 22 CONF “COMM EE Brat No; ids 26. Settlement: ot Advander Prior month Advance Balance: $ | b3 -2 This Advance: ; _ | bé -6 fy : _03956-358 | b7c -6 Pubs Returtied. and/or Cash on. Hand: 7 | Amount to be Reimbursed-$— | 27, Document No. Shaded areas for draft office use only Classification: Classified By: Blue Copy - Administrative/Case File Deciassify on: Silo at 10 Fob a ee