EFTA02849343¶
| FD-794 (Rev. 2-7-00) (AC) Criminal Case Classification (AC) Criminal OCDETF Case (CF) Asset (GA) SOG (AF) FCI Case (DD) OCDETF Group II UCO (GC) Air Operation (BC) Informant/CW (BD) informant/CW Providing Drug info. (F) FCI UCO (J) FCI Lockout Oraft Request . 2. Date . . | |
|---|---|
| Draft Request ? 2. Date | |
| 1-1 | |
| 3. Request for: ( ) Advance ( ) Expense 4. Social Security No: | 11 |
| 5. Payee Name: 6. File No: 6. File No: | e i i |
| 1 1 | Amount |
| 01 1 | |
| 03 | |
| 05 | |
| 06 | |
| 9. Total $ 1 | |
| 10. Justification: | |
| 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:// | |
| 11. Payment for reimbursable expense - forfeiture or drug related?YesNo | |
| 12. Requested by: | 15 |
| 14. Approval | Date |
| Supervisor Initials: | -, |
| SAC / ASAC / AO / SAS Approval: | 1 |
| Draft Approval Officer: | |
| Procurement Authorization: No IT Obligation No. | |
| J. J. J. J. J. J. J. No. J. L. | |
| 18. Cost Center: 19. Squad/RA: 20. Follow-up Date: | |
| 21 Document No. / / 22. CONF _ C | OMM |
| 23. Draft No: 25. Cashier: 25. Cashier: | |
| 26. Settlement of Advance: Prior month Advance Balance: $- | a successful and and |
| This Advance: $- | |
| Funds Returned and/ or Cash on Hand: $03956- | 340 |
| Amount to be Reimbursed: | |
| 27. Document No. | b |
| 28. Draft No: 29. Date: 30. Cas | |
| The second second second second second second second second second second second second second second second s | |
| Shaded areas for draft office use only Classification: | |
| haded areas for draft office use only Classification: | |
| haded areas for draft office use only Classification: | 2-10 |
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DRAFT REQUEST FORM INSTRUCTIONS¶
REQUESTING EMPLOYEE - Complete blocks 1 to 13 as follows:¶
- 1 Enter Budget Category Classification to which expenses will be charged.
- 2 Current date.
- 3 Check the box to indicate if this request is for an advance of funds or for payment of an expense.
- 4 Your Social Security Account Number.
- 5 The name of the person or company that should appear on the check.
- 6 The substantive file number, or the file number of the case benefitted by a payment to an informant, asset or cooperative witness. (If more than one case, see No. 10 below)
- 7 Brief description of the type of expense to be paid.
- Amount requested for each type of expense.
- 9 Total amount requested.
- 10 Enter a brief justification for expense or advance requested. Indicate multiple cases benefitted by asset/information/CW payment if applicable. For Field Office Use Only: A justification electronic communication must be completed for informant/asset/CW expenses and placed in the applicable informant/asset/CW file, maintained in the field office.
- Check the proper answer to indicate if the requested expense is reimbursable as asset forfeiture related or as a payment for drug information.
- 12 Your name.
- 13 Your telephone number or extension.
APPROVAL:¶
14 - Each request should be reviewed by the employee’s direct supervisor, who should initial the form to indicate review. Confidential expenses must be approved by signature of an ASAC or above. Expense/Advance requests for the purchase of supplies or equipment must be approved by the Supply Technician prior to payment. Commercial expenses must be approved by signature of an AOSM or above prior to payment. The Draft Approval Officer may approve commercial expenses under $50.00. Indicate the name of the FBIHQ procurement officer and telephonic authorization number (T- number), if appropriate. All advances and expenses must be approved by the Draft Approval Officer, who will complete the following parts of this form:¶
APPROVAL OFFICER:¶
- 15 Vendor Number and Vendor Group Number.
- 16 Classify the expense using Catalog Number (CAT) and Item Number.
- 17 Obligation number if an advance is issued.
- 18 Your cost center.
- 19 Squad/RA code, if applicable.
- 20 Follow-up date for advance liquidation.
DRAFT CASHIER:¶
- 21 Document Number assigned to this transaction.
- 22 Check if this transaction is confidential (CONF) or commercial (COMM).
- 23 Draft Number.
- 24 Date issued.
- 25 Cashier initials.
- 26 Enter advance settlement information when receipts are presented and the matching expense transaction is entered. If a supplemental draft is issued, complete blocks 27 to 30.
- 27 Document Number issued to this transaction.
- 28 Draft Number.
- 29 Date issued.
- 30 Cashier initials.
| FD-794 (Rev. 2-7-00) (AC) Criminal CaSe (AD) Criminal CoDETF Case (AF) FCI Case (BC) Informant/CW (BD) Informant/CW Providing Drug Info (BD) Informant/CW Providing Drug Info (F) FCI UCO (J) FCI Lookout | |
|---|---|
| Draft Request 2. Date _ / / 2, 3, / 0, 7 | |
| B. Request for: ( ) Advance ( ) Expense , 4. Social Security No: | ъз -2 |
| 5. Payee Na | Ъ6 −2 Ъ7С −2 |
| 16. Cat Item No 7. Description 8. Amount | |
| 01 02 03 04 05 06 07 | |
| 9. Total $ 10. Justification: 10. Justification: 10. Justification: 10. Justification: 10. Justification: 10. Symbol No. Symbol No. | b3 -2 |
| Payment/Code NamePeriod Coveredtototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototototo _to | Ь6 -1 Ь7С -1 |
| Supervisor Initials: SACCASAD/ AO / SAS Approval: Supply Technician Approval: Draft Approval Officer: Procurement Authorization: 15. Vendor No. 18. Cost Center 19. Squad/FA: 20. Follow-up Date: 05.101.102 | ЪЗ -2 Ъ6 -5 Ъ7С -5 |
| 21 Document No | |
| 23. Dratt No: 24. Date: _ 3/- 6 / 25. Cashier | |
| 26. Settlement of Advance: Prior month Advance Balance: $- This Advance: $- Less: Receipts: $ Funds Returned and/ or Cash on Hand: $ Amount to be Reimbursed:$- | |
| 27. Document No. | ĩ |
| 28. Draft No: 29. Date: 3/3//27 3 | |
| Shaded areas for draft office use only Classification: 0394 | 56-351 |
٦¶
| ` | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| U.S. Department of Ju | Istice | •, • | • | information | ation, | |||||
| Washington, D.C. 2053 | 13 1 17 99 T | OUT | Purc | hase Orde | r. Rece | iving Report | ||||
| THE PARTY AND A REAL PROPERTY OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA OF A DATA | C-RO-GLIMMAN AND | CHE STREET, HE CANNED | RUNDE-CON | ALCHORD AND | and and an income | A PERMIT | ||||
| This form shall only be used who | in requesting finuncial records of ind | ividuals and parmersbu | ps of five o | r fewer ind | Sviduals. | |||||
| 1 Purchase Order Number: | 2 Date Order Prepa | ared. | 36 | ase Number: | b3 | |||||
| ĮĮ | (7) | |||||||||
| Plance | ction A - Authori include PV | |||||||||
| 4 Name and Address of Fini | incial Institution: | mendue 1 11 | 10 011 | paying | ||||||
| L | ||||||||||
| 5 D | 6 Return | Date: | ||||||||
| 7 Remarks: | ••• | |||||||||
| Comments | ъ6 -2,- | |||||||||
| 9 Telephon | e Numhei | r. | 10 Dale o | I TEQUESI. | b7C -2 | |||||
| , | Ļ | ┢╧┦ | 21.7.0 0 | |||||||
| Section B - Fina | 5 | To Ba Amached | ||||||||
| No Payment Shall Be Ma | de Uniess Expenses | Are Rem | IZED Belo | w Or On To | ar Porn | |||||
| 11 Service/Financial Record | is Provided: | Quant | ity | Unit P Cost | Per | Amou | nt | |||
| to accounte | ||||||||||
| I hereby certify that the se (checking savings, share, | ervices provided below were loan, or credit card) of indiv | not performed rel vidual(s) or partne | rship(s) | ny corp of five d | fewer part | ni vențui iners. | es, etc., and p | to accounts | ||
| VEDE DEEO | DE DAVI | ENT CAN | ||||||||
| THE TAX IDENTIFICAT MADE. TAX IDENTIFI | TION NUMBER FOR THE | FINANCIAL INS | TITUTI | UM NC | ST BE INC | LUDED | HEKE BEFO | RE PAIN | ENI CAN | bc 1 b3 |
| , | b6 | |||||||||
| SEA | RCH & PRO | CESS | NG | ъ7с | ||||||
| RI | EPRODUCTI | ON CO | DST | |||||||
| M | AIL CO | DST | ||||||||
| ; | ||||||||||
| 12 | atution Official: | 13 024 | 129/1 | N | Total Arnou By Financia | |||||
| - | 100 | 1-44 | ,U | 116 Disaliowar | ┟└─── | |||||
| ceiving Report | 1 | (See Allac | hed) | |||||||
| 14 I certify that the articles | and services listed were receive | d: | 2 | 15 Det | Received: | 17 Net to Financial | ||||
| 10.0 | Institution gnature of App | avian Offic | [ | |||||||
| 18 Right to Financial Priva (12 U.S.C. 3401-3422) I | cy Act - Public Law 95-630 Request Pursuant To: (Check O | ne Only) | 19 5 | gnature of App | oving Ottic | iai | ||||
| SECTION | -1 | OBJECT CLASS | ||||||||
| 3404 | Customer Authorization | 2540 | 20 A | ccounting Class | ification Co | de | ||||
| 3405 | Administrative Subpoena o | r Summons | 2541 | FYF | C 1 2 | 3 | 4 5 | PROJ | ||
| 3406 | Search Warrant | 2542 | TTT | |||||||
| 3407 | Judicial Subpoena | 2543 | ||||||||
| 3408 | Formal Written Request | 2544 | 21 Se | chedule and Vo | ucher Numb | er: | ||||
| 3413 1 | Grand Jury Subpoena | 2545 | DC | ŧ | ||||||
| 3414 | Special Procedures | 2546 | ||||||||
| 22 Remarks: |
03956-355¶
FORM OBD-211¶
| FD-794 (Rev. 2-7-00) | |
|---|---|
| (AC) Criminal Case (CF) Asset (AD) Criminal OCDETF Case (DC) Group II UCO (AF) FCI Case (DD) OCDETF Group II (BC) Informant/CW (E) Group I (BD) Informant/CW Providing Drug info. (F) FCI UCO | (GA) SOG (GB) OPS (GC) Air Operation (H) SSG (J) FCI Lookout |
| Draft Request 2. Date | |
| B. Request for: ( ) Advance ( ) Expense 4. Social Security No: | t A It I I I I |
| 6. File No: مَنْ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ اللَّهُ | 1.0 |
| 6. Cat Item No 7. Description | 8. Amount |
| 01 | |
| 02 | |
| 04 | |
| 07 | |
| 9. Total $ | |
| 0. Justification: | |
| sset/Informant File No Symbol No | to |
| ayment/Code NamePeriod Covere | dto |
| rue Name: DOB: / / S | SAN: |
| ate of Waiver:// | |
| 11. Payment for reimbursable expense - forfeiture or drug related?Yes 💢 N | lo |
| 12. Requested by: 13. Telephone No: ( | 21) 2: 116 |
| 14. Approval | Date |
| Supervisor Initials: | 7 |
| SAC / ASAC / AO / SAS Approval: | X 1 117 |
| Supply Technician Approval: Draft Approval Officer: | |
| Procurement Authorization: No | |
| 5. Vendor No. Group 17 Obligati | ön No. |
| 18. Cost Center: 19. Squad/RA: 20. Follow-up | Date: |
| 21 Document No. | 22. CONF |
| 23. Dráť Nó; 24. Date: 25. Cashie | |
| 26. Settlement of Advance: Prior month Advance Balance: $ This Advance: $ | b3 b6 |
| Less: Receipts: $ | 03956-358 ь7с |
| Funds Returned and/ or Cash on Hand: $Amount to be Reimbursed:$ | |
| 27. Document No. | |
| 28: Draft No: | -3 |
| haded areas for draft office use only | |
| Classification: Classified By: | |
| ue Copy - Administrative/Case File Declassify on: | |
| 3/0 | - MM-108062-07 |
EFTA02849348¶
| FD-794 (Rev. 2-7-00) I. Classification 3/6 (AC) Criminal Case (AD) Criminal OCDETF Case (AD) Criminal OCDETF Case (AC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) Informant/CW (BC) | DG 25 7 Operation 36 21 Lookout | |
|---|---|---|
| 23107 | ||
| 3. Request for: ( ) Advance ( -/ Expense 4. Social Security No: | b. b | |
| 5. Payee Name: 6. File No: 31 E- MM | 08062 | b |
| 16. Cat Item No 7. Description | 8. Amount | |
| 07 | 1 | |
| 9. T | ||
| 10. Justification: assist in case investigation: | ||
| Asset/Intermant File No Symbol No Payme:::::::::::::::::::::::::::::::::::: | ||
| 11. Payment for reimbursable expense - forfeiture or drug related?Yes XNo | ||
| 12. Requested by: 13. Telephone No: | ь Ь | |
| 14. Supervisor Initials: SAC ASAC AO / SAS Approval: Supply Technician Approval: Draft Approval Officer: Procurement Authorization: | Date 126/87 18007 130(2-1 | |
| 15. Vendor No. Group 17 Obligation No. No. | b b | |
| 18. Cost Center: 19. Squad/FA: 20. Follow-up Date | 3/01/077 | ь |
| 21 Document No. 22. C | ONF COMM | |
| 23. Draft No 24. Date: 3-07 25. Cashie | ||
| 26. Settlement of Advance: Prior month Advance Balance: $ This Advance: $ Less: Receipts: $ Funds Returned and/ or Cash on Hand: $ | ||
| Amount to be Reimbursed:$ | ||
| 28. Draft No: 29. Date: 2 31/77 | ||
| Shaded areas for draft office use only | _ |