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FD-51R6-4-90 Accompllshment Aeport implishment must be reported and loaded into ISR. Date Prepared Squad supervisor approval M(/d] (please (ntlal) within 30 days from date of accomplishment) Date Loaded *? Data Loader's Initials - ME Accompllshment invoives: check althat apply File Number 0 1-Used, but did not helg. -r? 3-Helod substanally 2Holped, mnmly b6 A Fugitive 4 Absolurtety assontal D For Sub. Invest Assist by other FO (s) Indcate AB,C,O for corrosponding FO : iaj b7C Sankruptcy Fraud Stat Agent Soc. Sec. No. Rate FO b7E Rata FO MAT Aal4 FO Computer Fraud/Abuse Fin. Analyst Lab. Div, Exam UCO - Group I Ft Mor-NRCSC Comuption cf Public Otficials ' Stat Agent Name Lab. Fiold Sup UCO - Group For. Lang Asst. Forfeiture Assets Sub Invest Asst by FO (s) Computer Pon Fegisters |ucO - Nat, Back Non FBt Lab Ex RA -.Squad Consen Mon. Photo Cover. NCAVC/VI-CAP Vict-Witn Coor Asst. FO(s)_ 1330 Eisur/ FiSC Potygraph. . Crm/NS Intel Asst] - ... A8C,D Eisur/ T. mI Assisting Agents Soc. Sec. No. Search Warant Crisis Nog, - Fed. Task Force Eng. Field Spt. Show Morey Crisis Neg.- Local -.:. : Eng. Tapo Ex SOG ASSt . Ert Asst. Lagats Asst. .. welam Butte - IC 2. Evid Purchese Tech. Ag/Equip Sav - ITC NI+.. Name: : {In%CW Info Phone Tot Aoc Poc - WRCSC A. Complalnt / tntormation / Indictment ConvictIon J." Civit'Rico Matters Date: Federal - Local : Intemational Federal Loca Intemational ... Also Complete -Sectlon G* 3/r3/2000 - .: Complalnt Date: Canvictlon Date: Other Civil Matters Date: Check if Civil Rico Complaint. Subject Descriptlon Code: - ( Judgment Informatlon Oate: For 6F,G, Hinclude Agency Code Judicial Outcome Indictment Date: Felony or Misdemeanor : Amount$ B. Locate/ Arrest PIea 10 . en Suspension: Years Months. Federal Local Intemationat State: GA Judicial District: mo Subject Priority: A B C K. Administrative Sanctlon Date: Locate Date:. G.U.S.Code Vlolatlon Subjact Description Code Arrest Date: Required for. Sections A, 8, F, and J Type: Length: Subject Resisted Arrest (Federai only) 1 Suspension Permanent Subject Arrested was Armed eALl Section # Counts 0 Debarment 18 10 1382 z I c. Summons Date: Injunction Years Months Federal Local 0. Recovery/Restltutlon/PeLP X y. Asset Seizure Date: Federal Locat Intemational Asset Forfelture Date: Recovery Date: /5/2000 CATS #: Mandatory Code* Amount $ H. Sentence Date: Sentence Type: S Check one of the throe: Code* /Amount $ In Jail: Years Months Asset Forfeiture - Administrative Restltution Date: Court Ordered Suspended: Years Months Asset Forteiture - Civil Judiciai :: Pretrial Diversion Probation: Years Months, Asset Foreiture - Criminal Fines: $. 000-00 Code * $ unoury - Do not indicate $ vaiue in Section PELP Date: Coda* Amount $ : : 1. Disruption/Dismantlement: M. Acquittal/ Dlsmissal / Pretrilai Diverslon E. Hostage(s) Aaleased Date: Disruption Date: Acquittai Date:. Released by: Terrorist Other Dismantlement Date: Dismissal Date: . Number ot Hostages:. Completion of FD-515a Side 2 Mandatory Pretrial Diversion Oate: Chlld Located Date: Name Race* SexDate of Birth $ocial Security No.(if available GHAREES LJEK Y Q m OZ-/%3/ Z61-36-1d08 For Indictnents/Convictons only Campiete FD-515a.SideSlocks A-E mandatoryF-H as appropriate. 0 Subject relatod to an OC/Drug Organization. a VCmo Program National Gang Stratogy target group, or a VCmO Program Nationat Priority Initlative targat group - Complete FO-515aSlde 1 Blocks AC only. $erial Noof FO515 See codes cn reverse side. Raquires that an explanation be attached and loaded inta ISHAA for recovery over $1m and PELP over s