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a. r @ FEDERAL BUREAU OF rwves @erion PAYMENT REQUEST FD-794 Revised 10-11-2005 DRAFT TYPE Forfeiture or Drug Related?: F Yes Vv No INFORMATION ABOUT THE REQUESTING EMPLOYEE Offictal Bureau Name: (Last, First, Middie) Request Type: Payment Type: © Advance @ commercial cw @ Expense Confidential File Number: 31E-MM-108062 INFORMATION ABOUT THE REQUESTED PAYEE Pais ham Sociai Seu or Taxpayer ID Number: Justification: poetyer cartridge needed for use in case preparation immediately preceding travel co a | Telephone Number: DETAILS ABOUT THE REQUESTED DRAFT To be completed by Finance Only Catalog: item Number: Description: j bé -2 Supervisor: Z4/ f - SAC / ASAC / AO / SAS: Supply Technician: Draft Approval Officer: Procurement Authority: OBLIGATION PROCESSING Ly 719) Signature u Cashier: Date: Follow, ie Date OL EXPENSE PROCESSING RB. Aft Number: Signature of Cashier: Date: i! %-32-y Y race bane Parr y Received Y “APR 15 2041 j DRAFT Dle-mm VOW bwedyaKu dd FD-794 (Revised 10-11-2005)- Page 1 of i FEDERAL BUREAU OF INVESTIGATION