You are on page 1of 1
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

You might also like