EFTA00133434¶
AUG-19-2019 10:43¶
US ATTORNEY SDNY¶
P.007¶
U.S. Department of Justice¶
Washington, D.C. 20530¶
Request for Financial Information Under the Right to Financial Privacy Act (RFPA) (Authorization, Purchase Order and Receiving Report)¶
Section A - Authorization and Purchase Order¶
4 Name and Address of Financial Institution:¶
Citibank, N.A./Subpoena Compliance 100 Citibank Dr, Bdg I, Fl2, San Antonio, TX 78724¶
5 Delivery Records To:¶
See attached subpoena for delivery instructions¶
6 Return Date:¶
See attached¶
7 Remarks:¶
Do not proceed with complaint if the total cost will exceed $500.00 without prior approval. To obtain approval, call the requester listed in Item 8. If invoicing these services is expected to exceed 20 days, please notify the United States Attorney’s Office immediately to ensure funds remain available for payment. Please see the attached Important Notice for additional information on invoicing and other requirements for reimbursement.¶
8 Name of Recorder:¶
AUSA¶
9 Phone Number:¶
8-08192019-326826¶
10 Date of Request:¶
8/19/2019¶
Section B - Financial Institution Invoice¶
11 Payment Shall Be Made Unless Expenses Are Itemized Below Or Set forth On Your Attached Invoice¶
11A Invoice Number:¶
SJ-08192019-326826¶
11B Tax ID Number:¶
HX TD ID Number:¶
11C Services(s) Records Provided:¶
A. Searching and processing costs (clerical or technical personnel) B. Searching and processing costs (management/supervisory personnel) C. Searching and processing costs (computer support specialist) D. Reproduction Costs (Photocopying). **Note: Copy charges will be disallowed if the information is stored electronically, unless the US Attorney’s Office requests paper.¶
E. Reproduction Costs (Paper Copies of Microfiche; provide justification) F. Reproduction Costs (Duplicate Microfiche; provide justification) G. Storage Media Cost (e.g., Compete Diet, DVD, etc., at Actual Cost) H. Transportation Costs (Direct Costs Only)¶
12 Signature of Financial Institution Official:¶
13 Date Signed 09/03/2019¶
13C Disclosure by Financial Institution:¶
33.21¶
14I Certify that the articles and services listed were received:¶
15 Daze Received:¶
17 Not to Financial Institution¶
18 Right to Financial Privacy Act - Patricia Law 95-630¶
(12 U.S.C. 3401-3422) Request Pursuant To: (Check One Only)¶
Section C - Receiving Report¶
19 Signature of Approving Official:¶
| OBJECT CLASS | |
|---|---|
| 3404 Customer Authorization | 2545 |
| 3405 Administrative Subpoena or Surveillance | 2545 |
| 3406 Search Warranty | 2545 |
| 3407 Judicial Subpoena | 2545 |
| 3408 Formal Written Request | 2545 |
| 3413 Gun Jury Subpoena | 2545 |
| 3414 Special Procedures | 2545 |
20 Funding Source:¶
Accounting Code:¶
21 Other Accounting/Fund Information:¶
Program Code: N/A Project Code: N/A YRUGOC: 54-8113¶
Call Number (if applicable):¶
OBL Month (YRM0) Tax ID Number:¶
FORM USA·211 PFR. 2014¶
Signature of United States Attorney’s Office Representative¶
Date¶
TOTAL P.007¶