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‘, y * b7c FEDERAL BUREAU OF INVES ATION PAYMENT REQUEST
Revised 10-11-2005
DRAFT TYPE Forfeiture or Drug Related?:
T~ Yes Iw No
Request Type: Payment Type:
© Advance @ Commercial
io Expense © Confidential
Date of Request: 04/07/2011
File Number: 31E-MM-108062
Social Security Number:
Division:
MM
INFORMATION ABOUT THE REQUESTED PAYEE Social Security or Taxpayer ID Number:
Justification: Printer toner cartridge needed for use in case preparation immediately preceding travel tof
KI
DETAILS ABOUT THE REQUESTED DRAFT
To be completed by Finance Only
Catalog: Item Number:
Description: See attached EC
Supervisor:
SAC / ASAC / AO / SAS: Supply Technician: Draft Approval Officer:
Procurement Authority:
OBLIGATION PROCESSING WE)
V¢ ERP G Numb wa; nae
110 80be2 uy, Ae Cg Vi ter, Squad or RA: PB os BAGD ZZ
Signature of Cashier: Date:
Follow s Date;
OTL.
“ Tat IL EXPENSE PROCESSING ee Aft Number: Signature of Cashier: Date: ip Y-Je-y U
bao PARTy 7 Re Gceived
“APR 15 2031
j . DRAFT | Sle-mm-\08062- 24D FD-794 (Revised 10-11-2005)- Page 1 of 1 FEDERAL BUREAU OF INVESTIGATION
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