vision-joined/fbi-vault-01/6b9c217dda070389bc4d4de85b1b5b143d7df919f9aeaa63ebceff2e9a7a7e1d.md

FEDERAL BUREAU OF INVESTIGATION
FOI/PA
DELETED PAGE INFORMATION SHEET
Civil Action# 17-CV-03956
Total Deleted Page (s) = 46
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XXXXXXXXXXXXXXXXXXXXXXXX

Deleted Page (s)
X
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No Duplication
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XXXXXXXXXXXXXXXXXXXXXXXX

(Rev. 01-31-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: ROUTINE
To: Miami
From: Miami
Squad PB-2, PBCRA
Contact:
SA
Approved By:
Drafted By:
Case ID #: 31E-MM-108062V
Title:
CHANGED
JEFFREY, EPSTEIN:
Date: 12/05/2006
Attn:
SSA
b6 - 2
670 - 2
b3 -1
b6 -1
b70 -1
WSTA - CHILD PROSTITUTION
Synopsis:
To request assignment of co-case agent and submit
documents to case
file.
Previous Title:
Title marked "Changed" to reflect additional
subjects and the removal of
Title nreviously carried as "JEFFREY EPSTEIN;
WSTA - CHILD PROSTITUTION."
Details: It is requested that SA
be assigned
as co-case agent to the above captioned case.
The documents attached to this electronic communication
are for submission to the main case file.
Included in the
attachment are the
Palm Beach Police Department's Incident
Reports
and Property Receipts.
•
44
b3 - 1
b6 -1
b7C -1
b6 -2
b7C -2
•
03956-297
3IE-MM-108062-38
339l
ol. ec
b6 -2
b7C -2

(Rev. 01-31-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: ROUTINE
Io: New York
Newark
From: Miami
PB2/PBCRA
Contact: SA
Approved By:
Drafted By:
Case ID #: 31E-MM-108062
Title:
JEFFREY EPSTEIN;
•
Attn:
Date: 11/13/2006
SSAL
Squad 20
sSA|
RBRA-2
56 - 2
b7C - 2
Trending)
b3 - 1
b6 -1
b7C -1
WSTA - CHILD PROSTITUTION
Synopsis: To request travel reference captioned case.
Administratind Reference tend 55 petween Sun 12/07/2006.
Jand SsAl
Details: On 07/24/2006 the Federal Bureau of Investigation
(#BI), Palm Beach County Resident Agency (PBCRA), opened an
investigation involvina multi-millionaire Jeffrey Fostein and
captioned subiects
b6 - 2
b7c -2
b3 -1
b6 - 3
b7C -3
FBI Miami, PBCRA, request travel concurrence with FBI
New York and Newark Ior the purpose of interviewing pertinen
witnesses.
will travel on 12/14/2006 and anticipate interviewing witnesses
Exom 12/14/2006 - 12/17/2006.
anticipated that SA's
and AUSA
return to West Palm,
12/17/2006.
56-2,-6
b70 - 2,-6
03956-307
229b1.sc
3IE-MM-108062-486622

tie
To:
Re:
New York From:
Miami
31E-MM-108062, 11/13/2006
LEAD (s) :
Set Lead 1: (Info)
NEW YORK
AT NEW YORK, NEW YORK
EBI Miami request travel concurrence from FBI New York
to conduct witness interviews.
Set Lead 2: (Info)
NEWARK
AT REDBANK, NEW JERSEY
FBI Miami request travel concurrence from FBI Newark to
conduct witness interviews.
44
2
03956-308

FD-302a (Rev. 10-6-95)
31E-MM-108062
Continuation of FD-302 of
_, On 11/27/2006
_ Page 4.
03956-316

(Rev. 01-31-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: PRIORITY
To: Albuquerque
Jacksonville
San Juan
From:
Miami
Squad PB-2,
Contact: SA
Approved By:
Drafted By:
Case ID #: 31E-MM-108062
Title:
JEFFREY EPSTEIN:
Date: 12/06/2006
Santa Fe RA
Pensacola RA
St. Thomas RA
b6 -2
b70 - 2
(Pending)
63-3
b6 - 1
b70 -1
WSTA - CHILD PROSTITUTION
Synopsis: Io set leads for captioned investigation.
Details: On 07/24/2006 the Federal Bureau of Investigation
invest catine jeh rey to esident Agency (PBCRA), began
JeBCRA obtained information From
the City of Palm Beach Police Department (PBPD) |
b3 -1
b6 - 1,-3
b70-1,-3
03956-318
340
01. Ec
31E-NM-108062-49
b6 - 2
b7C -2

Io:
Re:
Albuquerque
From:
Miami
31E-MM-108062, 12/06/2006
66 - 1,-3
b7C -1, -3
Epstein also
66 - 11
b7C - 1
maintains
To date, the PBCRA continues to develop witnesses and
victims from across the United States.
Due to the media coverage,
unknown status of the state investigation, I
Tthe AUSAs and
Case Agents have a target date of January 2007 for indictment.
Based on the ongoing criminal investigation, the PRCRA
is requesting the assistance in establishing Epstein
Terior to conducting captioned ledas, It Is
requested that the lead agent (s) contact SA
FBI Miami, West Palm RA.
or SAL
tor investigative direction and
questions.
66 - 3
b70 - 3
b6 -1,-2
b70 - 1,-2
3
03956-320

..
To:
Re:
Albuquerque
From:
Miami
31E-MM-108062, 12/06/2006
LEAD (s) :
Set Lead I: (Action)
ALBUQUERQUE
AT SANTA FE, NM
Interview
Epstein's,
_Jeffrey
66 - 1/
b7C -1
Set Lead 2: (Action)
SAN JUAN
AT ST. THOMAS, U.S.V.I.
| cellular telephone number of
b6 -1
670 - 1
Set Lead 3: (Action)
SAN JUAN
AT ST. THOMAS, U.S.V.I.
Locate and Interview
telephone number |
Miami currently has on
Set Lead 4: (Discretionary)
JACKSONVILLE
AI PENSACOLA, FL
Interview
"This is the only information FBI
b6 - 11
670-1
b6 -1
b7C - 1
Set Lead 5: (Action)
4
03956-321
•

".
To:
Re:
Albuquerque
Frón:
Miami
31E-MM-108062, 12/06/2006
JACKSONVILLE
AT PENSACOLA, EL
Interviewl
b6 - 1
b7C -1
44
5
03956-322

(Rev. 01-31-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: ROUTINE
Io: Miami
From: Miami
-5
Contact: Ia
Approved By:
Date: 12/20/2006
Drafted By:
SI
Case ID #:
V31E-MM-108062 Trendingt
66-2
b7C -2
b7E -2
Quk
(Pending)
Title:
CREATION OF 12 ANALYST NOTEBOOK CHARTS
Synopsis: Io document assistance provided to Intelligence
Analyst (IA) L
in the creation of i2 Analyst
Notebook Charts.
b7A -1
66-2
670 - 2
Details: Intelligence Assistant (Ia)
provided
assistance in the creation of 12 Analyst Notebook Charts for the
above-mentioned case. The charts were produced according to the
specifications of Special Agent
and did
not require any research or analysis on the part of la
The
charts
dates of the target and
included the
during his stay and the day after his departure. Ia
created a total of 16 charts. The charts ranged in
66 - 2)
b70 - 2
b7E -5
date from
•
•
03956-323
31E-mm-108062-50

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Case ID: 31E-MM-108062 Serial: 54
Description of Document:
Type : FD909
Date
01/04/07
To
From
: MIAMI
Topic:
Reason for Permanent Charge-Out:
transfer to subpoena sub
Transferred to:
Case ID: 31E-MM-108062-SBP
Employee:
Serial: 57
Date: 06/21/07 Time: 13:39
63-2
66 - 2
b7C -2
03956-330
31E-141-10806254

Automated Serial, Permanent Charge-out
HD-5a (1-5-94)
Date: 06/21/07
Time: 13:41
Case ID: 31E-MM-108062
Serial: 55
Description of Document:
Type : FD909
Date
01/15/07
From
MIAMI
Topic:
Reason for Permanent Charge-Out:
transfer to subpoena sub
Transferred to:
Case ID: 31E-MM-108062-SBP
Employee
b3 -2
Serial: 58
b6 -2
b7C -2
03956-331
31E-MM-108062-55

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Case ID: 31E-MM-108062
Serial: 56
Description of Document:
Type : FD909
Date
01/15/07
To
From
MIAMI
Topic:|
Reason for Permanent Charge-Out:
transfer to subpoena sub
Transferred to:
Case ID: 31E-MM-108062-SBP
Employee:
Serial: 59
5555
Date: 06/21/07
Time: 13:44
63 - 2
b6
-2
b7C -2
03956-332
3IE-1M-108062-56

(Rev. 01-31-2003)
FEDERAL BUREAU OF INVESTIGATION
Precedence: ROUTINE
To: Miami
From: Miami
Squad PB-2
Contact: SA
Attn:
Approved By:
Drafted By:
Case ID/#: 31E-MM-108062" Tending)
Titie:
JEFFREY EPSTEIN:
JAnk
Date: 01/25/2007
Third Party Draft
56 -2
b7C -2
b3 - 1
b6 - 1
b7C -1
WSTA - CHILD PROSTTTUTION
Synopsis: To request funds for expenses associated to the
above captioned case.
Enclosure(s): Enclosed for Miami Third Party Draft:_
Details: SAL
Treouests Third Party Draft provide
63 - 2
b6 - 2
b70 - 2
obtained from ASAC
SA
•Prior authorization was
reguests Third Party Draft provide
03956-333
31E-14-108062-57

* d
To: Miami From:
niami
Re:
31E-MM-108062, 01/25/2007
LEAD (s) :
Set Lead I: (Info)
MIAMI
AI MIAMI
Third Party Draft shall
associated with the captioned
case.
b3 - 2
03956-334

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Case ID: 31E-MM-108062 Serial: 63
Description of Document:
Date: 0T72R
Date
01/23/07
To
From
US DISR COURT
Topic: EXECUTIVE FGJ SUBPOENA
Reason for Permanent Charge-Out:
transfer to the sub sbp
Iransferred to:
Case ID: 31E-MM-108062-SBP
Employee:
Serial: 3
Date: 02/06/07
Time: 14:34
63-2
b6 - 3
b7C -3
56 - 2
b7C - 2
03956-344
3IE-11M-108062-63

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Date: 02/06/07
Time: 14:35
Case ID: 31E-MM~108062
Serial: 64
Description of Document:
Type : INLET
Date
01/24/07
To
From
US ATTORNEY
Topic: FGJ SUBPOENA FOR
Reason for Permanent Charge-Out:
transfer to sub sbp
Transferred to:
Case ID: 31E-MM-108062-SBP
Employee:
•
63-2
b6 -3
b7C -3
Serial: 4
b6 -2
b7C -2
31E-MN 108062-66403956-345

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Date: 02/06/07
Time: 14:36
• Case ID: 31E-MM-108062 Serial: 65
Description of Document:
Date: 07/23
Date
To
01/23/07
From
: US DIST COURT
Topic: EXECUTIVE FGJ SUBPOENA FOR
Reason for Permanent Charge-Out:
transfer to sbp sub
Transferred to:
Case ID: 31E-MM-108062-SBP
Serial: 5
Employee:
b3 -2
b6 -1
b7C -1
b6 -2
b7C -2
03956-346
31E-MM+108042-65

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Case ID: 31E-MM-108062 Serial: 66
Description of Document:
Date: INTER
Date
21/24/07
From
US ATTORNEY
Topic: RE: FGJ SUBPOENA SERVED ON
Reason for Permanent Charge-Out:
transfer to sbp sub
Transferred to:
Case ID: 31E-MM-108062-SBP
Serial: 6
Employee:
Date: 02/06/07
Time: 14:37
b3 -2
b6 - 1
b7C -1
b6 -2
b7C - 2
31E-M 108062-63856-347

EC902157
4.
(Rev. 01-31-2003)
Cant
FEDERAL BUREAU OF INVESTIGATION
:
Precedence: ROUTINE
To: Miami
From:
Albuquerque
Squad 13/ Santa Fe RA
Contact:
SA L
Approved By:
Drafted By:
case ID #: 315-MM-108062
Title:
JEFFREY EPSTEIN:
Attn:
Date: 02/15/2007
Palm Beach County RA
SA
66 - 2
b70 - 2
Taes 685 - 61
(pending)
63 - 2
66 - 1
b7C - 1
PES
WSTA-CHILD PROSTITUTION
Synopsis: Io report results of covered lead.
Enclosure (s) :
Enclosed are the original and one copy of FD-302
interview of
and agent's original notes.
Details: An interview of
was conducted on
Results
of the interview are contained in the enclosed FD-302.
Pending further direction from Miami, Santa Fe RA
considers this lead covered.
b6 - 1
b7C -1
03956-348
31E-41-108062-67

FD-794 (Rev, 2-7-00)
Classification
(AC) Criminal case
(AD)
Criminal OCDETF Case
(AF)
FCI Case
(BC)
Informant/CW
BD) informant/CW Providing Drug info.
CF
DC)
Asset
Group II UCO
(DD)
OCDETF Group II
(5)
Group 1
(F)
FCI UCO
(GA) SOG
(GB)
OPS
GC
(H)
Air Operation
SSG
FCI Lookout
Draft Request
3. Request for:
. ( ) Advance
(Expense
2. Date
4. Social Security No: LILLI
5. Payee Name:
16.
01
02
03
04
05
06
07
Cat
Item No
7.
Description
8. Amount
1
9. Total$ 1
10. Justification:
Asset/Informant File No.
Payment/Code Name
One Time Non-symbol Source Payment:
True Name:
Date of Waiver: _
Symbol No.
_Period Covered
to
DOB:
SSAN:
11. Payment for reimbursable expense - forfeiture or drug related?
12. Requested by:
_Yes No
13. Telephone No:
14.
Approval
Date
Supervisor Initials:
SAC/ASAC / AO / SAS Approval:
Supply Technician Approval:
Draft Approval Officer:
Procurement Authorization:
15. Vendor No.
-.
Group
1 No. 1
18. Cost Center:
21 Document No.
19. Squad/RA:
No.
17 Obligation No.
20.
Follow-up Date:
22.CONF -
COMM
23. Draft No:
1;
24. Date:
26. Settlement of Advance: Prior month Advariée Balance: $-1
This Advance:
Less: Receipts:
Funds Returned and/ or Cash on Hand:
$
$
Amount to he Beimbursedit
25. Gashier:"
03956-349
27. Document No.
28. Draft No:
Shaded areas for draft office use only
29. Date:
30. Gas
Blue Copy - Administrative/Case File
Classification:
Classified By:
Declassify on:
31C-MM-108062-68
b3
: -2
b7C
-1.-5
-1. -5

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 fle number, or the file number of the case benefitied 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.
8 - Amount requested for each type of expense.
9- Total amount requested.
10 - Enter a brief justification fox expense or advance requested. Indicate multiple cases benefitted by
asset/information/CW payment if applicable. For Fild 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.
11 - 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 purchaso 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 undur $50.00. Indicate the name of the FBIHQ
procurement officer and telephonic authorization number (I- 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 - Drafl 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.
03956-350

HD-794 (Rey. 2-7-00)
Classification
(AC) Criminal Case
(AD)
Criminal OCDETF Case
(AF)
FCI Case
{BC) informant/CW
(BD) informant/CW Providing Drug info
(CF) Asset
(DC)
Group il UCO
(DĐ)
OCDETE Group It
Group 1
(F) FCIÚCO
(GA)
(GB)
SOG
OPS
(GC) Air Operation
(H)
SSG
(J)
FCI Lookout
Draft Request
2. Date
154 1 23, 407
3. Requestfor: 1 ) Advance (VExpense : 1
4. Social Security No:
5. Payee Na
6. File No: 31 Emm10,8062
16.
Cat
Item No
7.
Description
8.
Amount
Repurt seich a copy fre
01
02
03
04
05
06
07
9. Total$
10. Justification:
Th
angers
Asset/Informant File No. _
Payment/Code Name
One Time Non-symbol Source Payment:
True Name:
Date of Waiver:
_ Symbol No.
Period Covered
to
DOB:_
SSAN:_
11. Payinent for reimbursable expense - forfeiture or drug related? _
_Yes
12. Requested by:
3. Telephone Ne
No
14.
Supervisor Initials:
SACCASADIAO / SAS Approval:
Supply technician Approval:
Draft Approval Officer:
Procurement Authorization:
15. Vendor No.
18. Cost Center
21 Document Na
Date
126/0"
Boloz!
430\57
ND
Groupl
17
Obilgation No.
No.
I a Square A a 20 Poo a: 23/01107
23. Draft No:
24. Dare: - 31-07
26. Settlement of Advande: Prior month Advance Balance: $
This Advance:
Less: Receipts:
Funds Returned andfor Gash on Hand:
$
Amountto be Heimbursecks
25. Caşhier
27. Document No.,
28. Draft No:
Shaded areas for draft office use only
29. Date:
White Original - Submitted to Corfidential Contines Tinis Lo Mr. Arien
Classification:
Classitied By:
b3
b6
b7C
-2
-2
-2
b3
-2
b6 -1
b7C
-1
b3
-2
b6
-5
b7C -5
03956-351

U.S. Department of Justice
Wasbingion, D.C. 20330
Request for Financial Izormation (Authorization,
Purchase Order, Receiving Report.
LIHIS EORYLYIUST BE FILLED OUT AND RETURNED BOR PAYMENT
This form shall only be used when rquesting fundscial records of individuals and parmersbips of five or fewer individuals.
T Purchase Order Number:
12 Date Order Prepared,
Case Numbe
FET-
Section A - Authorization and Purchase Order
4 Name and Address of FinanciaLinsinution:
- Please include PVN# on payment:
S D
16 Resum Date:
7 Remarks:
b3 -2
Telashore dumber
-66-2,-6
1 08/0402,-6
Section B- Financial Institution Joypice
No Payment Shall Be Made Uniess Expenses Are liemized Below Or On Your Forn To Be Altached.
Il Service/Financial Records Prayided:
Unit Price
Quantity
Amount
Cost
Per
I hereby certify that the seryices provided below were not performed relative b any corforation, joint ventudes, etc., and pertain onlyllo accounts
(checking, savings, share, loan, or credit card) of individual(s) or partnership(s) of five or fewer partners
MADA A ENAME FANSTITUTION MUST BE INCLUDED HERE BEFORE PAYMENT CAN BE
MADE. TAX IDENTIFICATION NUMBER:
7
1-2
b6 -5
b7C - 5
SEARCH & PROCESSING
REPRODUCTION COST
MAIL COST
:
titution Official:
10829/Cl
Section C - Receiving Report
T4 i certify that the articles and services lisied were received:
15 Date Received:
Total Amount Claimes
By Financial Institutio
| 16 Disallowance
(See Attached)
17 Net 1o
Financial
Institution
T19 Signature of Approving Official:
18 Right to Financial Privacy Act - Public Law 95-630
(12 U.S.C. 3401-3422) Request Pursuant To: (Check One Only)
SECTION
• 3404
• 3405
3406
3407
• 3408
• 3413 1
• 1414
Customer Authorization
Administrative Subpoena or Summons
Search Warrant
Judicial Subpoena
Formal Writen Requess
Grand Jury Subpoena
Special Procedures
22 Remarks:
OBJECT
CLASS
2540
2541
2542
2543
2544
2545
2546
¡20 Accounting Classification Code
FylFc
1
2
3
4
5
I PROJ
21 Schedule and Voucher Number:
DC#
03956-355
FORM OBD-21!

Classification
FD-794 (Rev, 2-7-00)
(AC) Criminal Cave
(AD) Criminal OCDETF Case
(AF)
FCI Case
(BC) Informant/cW
(BD) Informant/CW Providing Drug info.
Draft Request
3. Request for: ( ) Advance (_ Expense
5. Payee Name
CF) Asset
GA) SOG
(DC) •
• Group II UCO
(GB)
(DD)
OCDETF Group I|
OPS
(E)
(GC) Air Operation
Sroup |
(H)
(F)
FCI UCC
(J)
SSG
FCI Lookout
12. Date 1'1
4 Social Security No: - 111e
16.
01
02
03
04
05
06
07
Cat
Item No
7.
Description
8. Amount
9. Total $
10. Justification:_
Asset/Informant File No.
Payment/Code Name
One Time Non-symbol Source Payment:
True Name:
Date of Waiver:
Symbol No.
Period Covered
to
DOB:
/
/
SSAN:
11. Payment for reimbursable expense - forfeiture or drug related? _
12. Requested by: /
Yes · No
iN 13. Telephone No: (= 1) :
14.
Approval
Date
Supervisor Initials:
SAC / ASACYAO / SAS Approval:
Supply Technician Approval:
Draft Approval Officer:
Procurement Authorization:
15. Vendor No:
1 ...
# 177
Group
No.
18. Cost Center:
No.
17: Obligation No:
20.
Follow-up Date:
21 Document No.
COMM
23:
Draft Nó:
24, Date:
26. Settlement of Advance: Prior month Advance Balance: $-
This Advance:
Less: Receipts:
Funds Returned and/ or Cash on Hand:
Amount to be Reimbursed:$
25. Cashier:
03956-358
27. Document No
28. Draft No:
29. Date,
Shaded areas for draft office use only
Blue Copy - Administrative/Case File
Classification:
Classified By:
Declassify on:
37C-14-108062-69
b3 -2
b6
b7C
- 2
- 6
-6

FD-794 (Rev, 2-7-00)
- 1. Classification
(AGI Criminal Case
(AD)
(AF)
Crminal OCDETF Case
FCI Case
(BC) InformanucW
(BD) InformantcW Providing Drug info.
Drait Request
3. Request for:
5. Payee Name:
16.
Cat
0.1
02
) Advance (→ Expense
(CF) Asset
(DC) Group II UCO
(DD)
OCDETF Group II
ge
Group |
FC. UCO
2. Date
4. Social Security No:
(GA) SOG
(GB) OPS
(GC) Air Operation
(H)
SSG
FCI Lookout
101123, '07
Item No
7.
Description
8. Amount
04
05
06
07
9. Total sl
10. Justification;
assist
case investigation
T
Asset/Informant File No. _
Pagmon/Code Name
One Time Non-symbol Source Payment:
True Name:
Date of Waiver:
_ Symbol No.
_Period Covered
DOB: _
/
/
SSAN:
11. Payment for reimbursable expense - forfeiture or drug related? _
12. Requested by:
Yes
13. Telephone No:
14.
Supervisor Initials:
SAC (ASAC) AO / SAS Approval:
Supply Technician Approval:
Dratt Approval Officer:
Procurement Authorization:
15. Vendor No.
18. Cost Center!
Groug
No.
] 19. SquadiA: P2-21
: 20.
21 Document No!
27. Draft No
24. Date:j-31-07
26, Settlement of Advance: Prior month Advance Balance: $
This Advance:
$
Less: Receipts:
$
Funds Returned and/ or Cash on Hand:
Amount to be Reimburged:$
Date
126/0"
180o
130/5
17 Obligation Nor
Follow-up DabB/0 1 0=
2, CONFE COMF
25. Cashie
27. Document No.
28, Draft No:
Shaded areas for draft office use only
29, Date:
2|aile7
Classification:
Classified By:
White Drivinal - Suhmilted to Confidential Services Unil by Dran Office
Dec'assify on:
7
b3 -2
-2
b7C -2
b3 - 3
66 - 1
b7C -1
b3 -2
b6
-5
b7C -5
03956-360

FEDERAL BUREAU OF INVESTIGATION
FOI/PA
DELETED PAGE INFORMATION SHEET
Civil Action# 17-cv-03956
Total Deleted Page (s) = 456
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