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S.GOVERNMENTPRINTINGOFFICE:2002-485-04 FD-794 (Rcv. 2-7-00) 1. Classification _/4A AC) Criminal Case CF Assct GA) SOG b7E AD) Criminal OCDETF Case (DC) Group II UCO GBOPS (AF) FCI Case (DD) OCDETF Group II GC Air Operation BC) Informant/CW (E) Group I (H) SSG (BD) Informant/CW Providing Drug info. (F) FCI UCO (I) FCI Lookout 2.Date ,09,1,20,1,07 Draft Request 4. Social Security No b6 3.Request tor: ()Advance (X) Expense b7C 5. Payee Name 6.File no:94,A-+B$- 900@5 7. 8. Amount 16. Cat Item No Description Cone exjaMses 00Z/ 9. Total$ Hhe cousse. Oj inues+? Registns _Deeds.. Asset/Informant File No. Symbol No. Payment/Code Name Period Covered to One Time Non-symbol Source Payment:. True Name: DOB: SSAN: Date of Waiver: Yes X No 11. Payment for reimbursable expense - forteiture or drug related? .b6 12. Requested by: S7! 3. Telepnone Nd b7C Approval Date 14. 4/20/07 Supervisor Initials: SAC / ASAC / AO / SAS Approval: Supply Technician Approval: Draft Approval Officer: Procurement Authorization: No. 15.VendorNo. 17 ObligatlonNo. No. 18. Cost Center: 19. Squad/RA: 20. Follow-up Date: 21 DocumentNo. 22.CONF COMM 24.Date 25. Cashier: 23 Drait No:. 26Settlement otAdvance: Prior month Advance Balance: $ This Advance:: Less: Receipts: Funds Returned-and/or GashonHand; ..y, +e. Amountto be Reimbursed$ 27DocurnentNo 29, Dater. 30. Cashier, + ++ +? j9yA-B~90b5-1 Shaded areas for draft offioo use only Classification: Classified By: