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« FD-794 ] 1011-3008 PAYMENT REQUEST FEDERAL BUREAU OF navesrioar DRAFT TYPE Forfeiture or Drug Related?: - Y. ves ie No Request Type: © Advance c Expense Payment Type: © commercial © Confidential INFORMATION ABOUT THE REQUESTING EMPLOYEE Officia! Bureau Name: (Last, First, Middle) Social Security Number: |Date of Request: 5/01/2007 Section: Unit: [Telephone Number: __|File Number: BIC 3460 / 1295 Squad L-1 | ststisédi‘S ALE“ MMM-.08062 INFORMATION ABOUT THE REQUESTED PAYEE — Name; . Social Security or Taxpayer ID Number: Justification: b5 -2 Division: Miami DETAILS ABOUT THE REQUESTED DRAFT To be See tem Namber by Finance Only Catalog: litem Number:__|Description: Supervisor: SAC / ASAC / AO / SAS: Supply Technician: Draft Approval Officer: Procurement Authority: OBLIGATION PROCESSING Group Number: Obligation Number: Cost Center: sate a Document Number: Bite 4S /pa-a Pere Signature of =e Date: Vendor Number: Follow Up Date: Draft 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: Document Number: BIEWM -]08Olo 2 ~EF -Lise-abbe FD-794 (Revised 10-11-2005) Page 1 of 1 : FEDERAL BUREAU OF INVESTIGATION