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jeffrey-epstein — Part 06
Page 18
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FD-794
FEDERAL BUREAU OF INVESTIGATIOI
Revised
10-11-2005
PAyment REQueST
DRAFt TyPE
Request Type:
Payment Type:
Forfeiture or Drug Related?:
Catalog:
Advance
Commercial
EYes
cw
Expense
Confidential
No
INfORmATIOn ABOUt THE REqUESTInG EmpLOyEE
Official Bureau Name: (Last, First, Middle)
Social Security Number:
Date of Request:
05/01/2007
b6 -2
Division:
Section:
Unit:
Telephone Number:
File Number:
b7C -2
Miami
3460 / 1295
Squad L-1
31E-MM-108062
InFOrmATIOn AbOUT The REqUESTED PAyEE
Pavee Name:
Social Security or Taxpayer ID Number:
Justification:
b5 -2
Details About the Requested Draft
To be completed by Finance Only
Catalog:
Item Number:
Description:
Amount:
Certified Copies of Corporate Records
b6 -2
b7C -2
b7E -9
Total:
Date
Supervisor:
SAC / ASAC / AO / SAS;
Supply Technician:
Draft Approvai Officer:
Procurement Authority:
OBLIGATION PROCESSING
Vendor Number!
Group Number:
Obligation Number:
Follow Up Date:
Cost Center:
Document Number:
Draft Number:
3460
Signature of Cashier:
Date:
Settlement of Advance
Prior Month Advance Balance:
This Advance:
Less: Receipts:
Funds Returned and/or Cash on Hand:
Amount to be Reimbursed:
03956-2980
EXpense PrOcessIng
Document Number:
Draft Number:
Signature of Cashier:
Date:
3jE-MM-i 08067
FD-794 (Revised 10-11-2005)
Page 1 of 1
FEDERAL BUREAU-OF INVESTIGATION
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