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f AK 3: 7 © Accomplishment Report dv, 10-28:97) Qin: must be reported and loaded i Squad supervisor approval ith i (please initial) within 30 days from date of accomplishment) % Date propre Lt {Ae Date Loaded —_7_—__ Data Loader's Initials ir | a Accomplishment involves: (chéck all that apply) Investigative Assistance or Technique Used 1-Used, but did not help 3 - Halped, substantially 2 -Helped, minimally 4 - Absolutely essential For Sub. Invest. Assist. by other FO (s) indicate A,B,C,D for corresponding FO Rate FO Rate FO IAT (AT Rate FO (AT tAT Fin. Analyst | | Lab. Div. Exam| | | | UCO - Group I | Ft. Mon.- NRCSC Lab. Field Sup | | | UCO - Group II | | For. Lang Asst. Aircraft Asst. | | . [Computer =| | | Pen Registers UCO - Nat. Back | Non FBI Lab Ex NCAVG/VI-GAP| [IBM Vict-Witn Coor [onsen Mon. |_| [Photo cover. |_| Crim Intel Asst Polygraph Elsur/T. I arch Warrant Crisis Neg. - Fed. Eng. Field Spt, Show Money Crisis Neg. - Local Eng. Tape Ex | | SOG Asst. | Evid Purchase Tach. Ag/Equip | | tinvow Into | | Poc - WRCSC D. Hostage(s) Released Date F. Civil Rico Matters Date Released by: (] Terrorist (] Other Also Complete Section | Number of Hostages: Child Located Date Bankruptcy Fraud Computer Fraud/Abuse isting Agents Soc. Sec. No. * \ Complaint / Information / Indictment (Federal [J Local [7 international Complaint Date Check if Civil Rico Complaint [] Information Date or Other Civil Matters Date Recovery / Restitution / PELP < Indictment Date (Federal [] Local [J International Judgment______* Recovery Date Judicial Outcome____ Xx ® Locate/ Arrest Code Amount Amount: $ (C0 Federal [J Local [7 International Subject Priority: OA OB OC Locate Date Arrest Date C1 Subject Resisted Arrest © Subject Arrested was Armed Suspension: . Restitution Date__—— (0 Court Ordered (1) Pretrial Diversion Code ° Amount G. Administrative Sanctions Date Subject Description Code . Type: - Length: 0 Suspension [J Permanent (] Debarment (1 [Years | months | OC Injunction Sentence Date: of fee. ; Sentence type: 5 3, PB ° In-Jail Suspended Probation Years Months | Years Months [Years Months c. Summons OD Federal 0 Local Summons Date PELP Date Code * Amount I. U.S. Code Violations Required for Sections A, B, F, and H (Federal only) H, Conviction C1 Federal [J Local (International Conviction Date: Subject Description Code: ® (____): For 6F, G, H--include Agency Code 0) Felony Or (] Misdemeanor OU Plea Or {C) Trial | | tae || Fines: $ K. Acquittal / Dismissal / Pretrial Diversion Acquittal Date Dismissal Date Pretrial Diversion Date State: Judicial District: Date of Birth [| Social Security No. (if available For Indictments/Convictions only: Po Subject related to an LCN, Asian Organized Crime (AOC}, Italian Organized Crime (IOC), Russian/Eastern European, Caribbean, or Nigerian Organized Crime Group - Complete FD-515a, Side 1 and Side 2. ad (Subject related to an OC/Drug Organization, a VCMO Program National Gang Strategy target group, or a VCMO Program National Prior tnitatve argsC@ou. = Complete FD-515a, Side 2, elie d Additional information may be added by attaching another form or a plain sheet of paper for additional entries. Ine Serial No. of FO-515 — See codes on reverse side. Fils Ch _| 244 “te B4410 ~ $B «x