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1. Classification FD-794 (Rev. 2-7-00) AC) Criminal Case (CF) Asset (GA) SOG AD} Crminal OCDETF Case DC Group Ii UCO GB) Ops (AF) FCI Case II dnoedgg (gg) GC) Air Oparation BC informancw Group! SSG BD} informanucw Providing Drug info. FC} UCO J FCl.Lookout 2. Date 0/123,107 Dratt Request b3 -2 3. Request for: ) Advance (Expense 4. Social Security No: b6 -2 6.File No3E-mm0Y2 b7C -2 5. Payee Name: 16. Ca1 Item No 7. Description 8. Armount 01 02 09 Q4 05 06 07 b3 -3 9. Total 10. Justitication: ass$t.w. Case Asset/Intyrmant File No. Symbol No. PayracnCode Name Period Covered to One Time Non-symbol Source Payment: True Name: DoB: SSAN: Date of Waiver: 11. Payment for reimbursable expense - torfeiture or drug related? Yes _No b6 -1 12. Requested by. 13. Telephone No: b7C -1 14. Date Supervisor Initials: SAC (ASAC)AO/ SAS Approval:) Supply Technician Approval:. 7307 Draft Approval Officer: Procurement Authorization:. 15.Vendor No. Grou 17 Qbllgatlon No b3 -2 No. b6 -5 20. Follow-up DaB/ 18. Cost Center? 19. Squad/RA: b7C -5 21 Dogument No 22.CONCOMM 23. Draft No eed t 3-0 2$. Cashie 26. Settlement ot Advance: Prior month Advance Balance: $ This Advance: $ Less: Receipts: $ Funds Returned and/ or Cash on Hand: Amount to be Beimbursed:$. 27. Document No. 28, Draft No: 29. Date: Shaded areas for draft office use only Classification: Classified By: 03956-360 Writr Orisinal - Sibmitted to Confidential Services Unit by Draf Office Dec'assify on: