FEDERAL BUREAU OF INVESTIGATION
PAYMENT REQUEST
DRAFTPE
Reauest Type Payment Fype: Conioentat Forfeiture or Orug Related No
INFORMATION ABOUT THE REQUESTING EMPLOYEE
= (ileal Bureau ame pions Date of Request
Riley, Tracey ‘onos@011 6 -:
ORI ties Squad [To Gest Gone Telephone Number bre -1
INFORMATION ASOUT THE REQUESTED PAYEE.
Riley. Tracey. a bé -1
‘Source Number | Secini Number | Payment Name | ‘pproved | Period |” Period biD -2, 3
Financial Jutfication
DETAILS ABOUT THE REQUESTED ORAFT
FiscsiVoar | SOC Jncud ty] Gaiaiag Tiina] Cornacopia ProgramiSubprogram [Amount
Jagent or CHS
i bye -1
t [seep Desenption [Seowens e000
3500.00,
ae
‘Gocument Number L Bayiment Relorence Number
Snare Coatiee ae
‘SETILEMENTOPADVANCE
Pi Non Alvanes Balance
This Avance.
Less. Receits
Funds Retorad ander Cashion Hand
Arnaut be Rome
EXPENSE PROCESSING
Decumentnumber | OraitNumber | Signalue of Cashier | ate
[ T to
APPROVAL
Name Daten
‘Aroved By SSA. alos, Mark J 8207201 10.28.28 AN
Cemed by ASAC ‘12011 23823 OH
eat Appeal Oe
EFF-134