EFTA00129473¶
Draft Request¶
-
Date: 11/11/09
-
Request for: ( ) Advance ( ) Expense
-
Social Security No:
-
Payee Name:
-
File No: 72.MM1.1.3.3.7.
-
Description OTD-
-
Amount
01 95500 uc Hotel Rooms 177.30¶
02¶
03¶
04¶
05¶
06¶
07¶
-
Total $ 177.30
-
Justification: Room used for uc meeting
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: / / /¶
-
Payment for reimbursable expense - forfeiture or drug related? Yes No
-
Requested by: 13. Telephone No:
-
Approval Date
Supervisor Initial(s): SAC / ASAC / AO / SAP Approval: Supply Technician Approval: Draft Approval Officer: Procurement Authorization:¶
-
Vendor No: GNM M M BD RA Group No: A 17. Obligation No: 1081999
-
Cost Center: 34.60 Squad/RA 20. Follow-up Date: 11/12/07
-
Document No: 1400 mm 10/320/405/22 CONF COMM
-
Draft No: 1052.64 Date: 11/03/25 Cashier:
-
Settlement of Advance: Prior month Advance Balance: $177.30 This Advance: $177.30 Less: Receipts: $177.30 Funds Returned and/or Cash on Hand: $ Amount to Be Reimbursed:
-
Document No: ACPM M M BD RA 34/
-
Draft No: 29. Date: 11/20/00
Shaded areas for draft office use only¶
Classification: Classified By:¶