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FD-794(Rev.2-7-00 Classification ACCrimina (CF) Asset (GA) SOG AD) Criminal OCDETF Case DC Group I UCO (GB) OPS {AF} FCI Case DO) OCDETF Grouo II GC) Air Operation BC Informant/cw 8D informancw Providing Drug info. (H) SSG F FCI Lookout Draft Request : 2. Date 3.Request for:( )Advance Expense 5. Payee Name: 6. File No: 16. Cat Item No 7. Description 8. Amount 01 02 60 04 05 06 07 9. Total$ 10. Justification: Asset/Informant File No. Symbol No. Payment/Code Name Period Covered to One Time Non-symbol Source Payment: True Name: DOB: 1 1 SSAN: Date of Waiver: 11. Payment for reimbursable expense - forfeiture or drug related? Yes *. No 12. Requested by: 13. Telephone No:. 14. Approva! Date Supervisor Initials: ..- SAC/ASAC / AO / SAS Approval: Supply Technician Approval: Draft Approva! Officer: Procurement Authorization: No. 15.Vendor No. Group 17 Obligation No. 1 :.1: 1 No 18.Cost Center 19.Squad/RA: 20. Follow-up Date: 21 Document No 22.CONF COMM 23. Draft No? 24.Dato 25. Cashier' 26. Seltlement of Advance: Prior month Advance Balance: $ b3 -2 This Advance: $. Less: Receipts: $ Funds Returned and/ or Cash on Hand: $ 03956-349 Amount to np Beimbursedas b6 -1.-5 27. Document No .! b7C -1.-5 28. Draft'No: .29. Date; :30.Cas . Shaded areas for draft office use only Classification: Classified By: Blue Copy - Administrative/Case File. Declassify on: 31C-MM-108062 -