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jeffrey-epstein — Part 06
Page 19
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FD-794
FEDERAL BUREAU OF INVESTIGATION
Revised
PAYMENT REQUEST
10-11-2005
DRAFT TYPE
Request Type:
Payment Type:
Forfeiture or Drug Related?:
{Catalog:
Advance
Commercial
. yes
cW
esuadx3
Confidential
No
InFORMATIOn ABOUt The REqUESTInG EmpLOYEe
Official Bureau Name: (Last, First, Middle)
Soclal Security Number:.
Date of Request:
05/01/2007
b6 -2
b7C -2
Division:
Section:
Unit:
Telephone Number:
File Number:
Miami
3460 / 1295
Squad L-1
31E-MM-108062
InfORmAtIOn AboUt The REqUeSted PAYEE
Payee 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:
re
Date
Supervisor:
SAC / ASAC / AO / SAS:
Supply Techniclan:
Draft Approval Officer:
Procurement Authority:
OBLIgATIOn PROceSsInG
Vendor Number:
Group Number:
{Obligation Number:
Follow Up Date:
Cost Center:
Squad orRA:
Document Number:
J PB-2
Draft Number:
3460
1095
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 Reirmbursed:.
EXpense PrOcEssIng
Document Number:
Draft Number:
Signature. of Cashier:
Date:
He
FD-794 (Revised 10-11-2005)
Page 1 of 1
FEDERAL BUREAU OF INVESTIGATION
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