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document_id: EFTA02849323
source_file: EFTA02849323.md
dataset: foia-fbi
pages: 116
chars: 233113
ocr_status: ok
document_type: EFTA
page_vibes_legal: 0.5
page_vibes_correspondence: 0.5
page_vibes_journalism: 0.5
page_vibes_scholarship: 0.5
page_vibes_flight_log: 0.5
page_vibes_financial_record: 0.5
page_vibes_first_page: 0.5
page_vibes_last_page: 0.5

Document EFTA 02849323

FEDERAL BUREAU OF INVESTIGATION
FOI / PA
DELETED PAGE INFORMATION SHEET
Civil Action# 17-cv-03956
Total Deleted Page(s) = 46
Page 2 ~ b3 - 1; b6 - 3; b7C - 3;
Page 3 ~ b3 - 1; b6 - 2,-3; b7C - 2,-3;
Page 4 ~ b3 - 1; b6 - 3; b7C - 3;
Page 6 ~ b3 - 1; b6 - 3; b7C - 3;
Page 8 ~ b6 - 1; b7C - 1;
Page 10 ~ b3 - 1; b6 - 1,-2,-3; b7C - 1,-2,-3;
Page 11 ~ b3 - 1; b6 - 1,-3; b7C - 1,-3;
Page 14 ~ b3 - 1; b6 - 1,-2,-3; b7C - 1,-2,-3;
Page 15 ~ b3 - 1; b6 - 3; b7C - 3;
Page 20 ~ b3 - 1; b6 - 1,-2,-3,-5; b7C - 1,-2,-3,-5;
Page 21 ~ b3 - 1; b6 - 1,-3,-5; b7C - 1,-3,-5;
Page 22 ~ b3 - 1; b6 - 1,-3; b7C - 1,-3;
Page 23 ~ b3 - 1; b6 - 1,-3; b7C - 1,-3;
Page 28 ~ b6 - 1,-2,-5; b7C - 1,-2,-5;
Page 29 ~ b6 - 1,-5; b7C - 1,-5;
Page 30 ~ b6 - 1,-5; b7C - 1,-5;
Page 36 ~ b3 - 1; b6 - 3; b7C - 3;
Page 39 ~ b3 - 1; b6 - 1,-3,-5; b7C - 1,-3,-5;
Page 44 ~ b3 - 1; b6 - 1,-2,-3; b7C - 1,-2,-3;
Page 45 ~ b3 - 1; b6 - 1,-3; b7C - 1,-3;
Page 48 ~ b6 - 1,-2; b7C - 1,-2;
Page 49 ~ b3 - 1; b6 - 1,-3; b7C - 1,-3;
Page 50 ~ b6 - 1,-5; b7C - 1,-5;
Page 54 ~ b6 - 1; b7C - 1;
Page 61 ~ b3 - 2; b6 - 1,-2,-5; b7C - 1,-2,-5;
Page 62 ~ b6 - 1,-5; b7C - 1,-5;
Page 63 ~ b6 - 1; b7C - 1;
Page 67 ~ b6 - 1,-2; b7C - 1,-2;
Page 68 ~ b6 - 1; b7C - 1;
Page 71 ~ b3 - 1; b6 - 1,-2,-3; b7C - 1,-2,-3;
Page 72 ~ b3 - 1; b6 - 1,-3; b7C - 1,-3;
Page 75 ~ b3 - 1; b6 - 3; b7C - 3;
Page 77 ~ b3 - 1; b6 - 3; b7C - 3;
Page 87 ~ Duplicate;
Page 88 ~ Duplicate;
Page 89 ~ b3 - 2; b6 - 1,-2; b7C - 1,-2;
Page 91 ~ b3 - 2;
Page 92 ~ b3 - 2;
Page 94 ~ Duplicate;
Page 96 ~ Duplicate;
Page 97 ~ Duplicate;
Page 98 ~ b3 - 2; b6 - 1,-2; b7C - 1,-2;
Page 99 ~ Duplicate;
Page 100 ~ Duplicate;
Page 101 ~ b6 - 1,-2,-5; b7C - 1,-2,-5;
Page 102 ~ b6 - 1; b7C - 1;

************************

X Deleted Page(s) X X No Duplication Fee X X For this Page X XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

FEDERAL BUREAU OF INVESTIGATION

Precedence: ROUTINE Date: 12/05/2006
To: Miami Attn: SS SA Ъ6 -2
Ъ7С -2
uad PB-2, PBCRA
ntact: SA
Approved By:
Drafted By:
Case ID #: 3 1E-MM-108062 , 01
Title: / CHAN
JEFF
REY, ÉPSTEIN; b3 -1
b6 -1
b7c -1
ION
- J.K
Synopsis: To
documents to
o request assignmer
case file.
nt of co-cas e agent a and submit
le: Title mark ed
the removal of
'Changed" to reflect additional b3 -1
b6 -1
tle previously carr
WSTA - CH
ried as "JEF
HILD PROSTIT
TEIN; Ъ0 -1
Ъ7С -1
is requested that
gent to the above o
se. be assigned b6-2
b7с-2
are for submattachment a e documents attache
ission to the main
re the Palm Beach F
Property Receipts.
case file. Include d in the .on
** · . 1
039 956-297
3 /Е-им -108
39 р1.ес
062-38
b6 -2
b7C -2

Ъ7С -2

FEDERAL BUREAU OF INVESTIGATION

Precedence: ROUTINE Date: 11/13/2006
To: New York Attn: SSA
Squad 20
Newark SSA
RBRA-2
b6 -2
From: Miami
PB2/PBCRA
Contact: SA
ъ7с -2
Approved By: m
Drafted By: il s Gr
Case ID #: 31E-MM-108062 (P ending) 3.0
Title: JEFFREY EPSTEIN; Ть 3 -1
6 -1
7C -1
WSTA - CHILD PROSTITU TION
Synopsis: To request travel reference captioned c ase.
Γ Administrative: Reference te
and SSA a
lcall betw
nd SSA
een SA
on 12/
07/2006. b6 -2
b7C -2
_ Details: On 07/24/2006 the F
(FBI), Palm Beach County Resi
investigation involving multi
captioned subjects.
dent Agenc y (PBCRA), opened an
b3 -1
b6 -3
b7C -3
[ FBI Miami, PBCRA, r
New York and Newark for the p
witnesses. SA's
will travel on 12/14/2006 and
from 12/14/2006 - 12/17/2006.
and AUSA
anticipat interviewin
d AUSA
e interview
icipated th
g pertinent
ing witn esses
b6 -2,-6
b7C -2,-6
•
03956-3 307
229 OI.EC 31E - мм-108062- 40 b6 -2
- 14 FTA02849326

To: Re: New York From. Miami 31E-MM-108362, 11/13/2006

LEAD(s):

Set Lead 1: (Info)

NEW YORK

AT NEW YORK, NEW YORK

FBI 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.

♦♦

03956-3U8

4 • F

31E-M-108062

Coroinuotion of FD.302 of ,on 11/27/2006 . PAU ____,--4._

FEDERAL BUREAU OF INVESTIGATION

Preceden ce: PRIORITY Date: 12/06/2006
To: Alb uquerque Santa Fe RA
Jac ksonville Pensacola RA
San Juan St. RA Øu
From: M iami
Squad PB-2, PBCBA
Contact: SA
b6 -2
Approved / ъ7С -2
Drafted ,
#: 31E-MM-108062 (Pending u
JEFFREY EPSTEIN; b3 -3
Γ b6 -1
b7C -1
L WSTA - CHILD PROSTITUTION
Superais : To set leads for caption ad investigation
Synopsis . TO SET TEADS TOT Caption ieu investigación.
On 07/24/2006 the Federal
Palm Beach County Resident A
Mating Jeffrey Epstein,
igency (PBCRA), began b3 -1
b6 -1,-3
BCRA obtained information fr
the City of Palm Beach Police Depar (PBPD)
1
039 956-318
340 01.20 31E- NH- 108062- 11a b6 -2
77 b7C -2
ЕFTA02849329

To: Albuquerque From: Miami Re: 31E-MM-108062, 12/06/2006

b6 -1,-3
b7c -1,-3
maintains b6 -1
b7C -1
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,
the AUSAs and
Case Agents have a target date of January 2007 for indictment.
b6 -3
b7c -3
Based on the ongoing criminal investigation. the PBCRA
is requesting the assistance in establishing Epstein
b6 -1,-2
b7C -1,-2
Prior to conducting captioned leads, it is requested that the lead agent(s) contact SA FBI Miami, West Palm RA, for investigative direction and questions.

3

To: Albuquerque From: Miami Re: 31E-MM-108062, 12/06/2006

LEAD(s):

1
Set Lead 1: (Action)
ALBUQUERQUE
AT SANTA FE , NM
Interview Jeffrey
Epstein's,
ъ6 -1
ъ7С -1
Set Lead 2: (Action)
SAN JUAN
AT ST. U.S.V.I.
Interview cellular telephone number of residence telephone number Ь6 -1
Ъ7С -1
for Jeffrev Epstein
Set Lead 3: (Action)
SAN JUAN
AT ST. U.S.V.I.
Locate and Interview
telephone number This is the only information FBI
Miami currently has on
Ъ6 −1
Ъ7С −1
Set Lead 4: (Discretionary)
JACKSONVILLE
AT PENSACOLA, FL
Interview b6 -1,
b7C -1
Set Lead 5: (Action)
4

JACKSONVILLE

AT_PENSACOLA, FL

Interview

**

b6 -1 b7с -1

FEDERAL BUREAU OF INVESTIGATION

Precedence: ROUTINE

To: Miami

From: Miami
-5
Contact: Ia
b6 -2
b7C -2
b7C -2
Approved By: Gink
Drafted By: sr Sk
Case ID #: V31E-MM-108062 (Pending)
(Pending)
b7A -1

Title: CREATION OF 12 ANALYST NOTEBOOK CHARTS

Synopsis: To document assistance provided to Intelligence Analyst (IA) ______ in the creation of i2 Analyst Notebook Charts.

Details: Intelligence Assistant (Ia) provided
assistance in the creation of i2 Analyst Notebook Charts for the
b6 -2
b7с -2
above-mentioned case. The charts were produced according to the b7E -5
specifications of Special Agent and did
not require any research or analysis on the part of Ia 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
date from

**

31E-mm- 108062-50

b6 -2

b7C -2

Automated Serial Permanent Charge-Out FD-5a (1-5-94)

Date: 06/21/07 Time: 13:39

Case ID: 31E-MM-108062 Serial: 54

Description of Document:

Туре : FD909
Date ۰. 01/04/07
то :[ ьз -2
MIAMI
Topic ::

Reason for Permanent Charge-Out:

transfer to subpoena sub

Transferred to:

Case ID: 31E-MM-108062-SBP Serial: 57

Employee:

Ъ6 −2 Ъ7С −2

31E -MM - 108062 54

Automated Serial Permanent Charge-Out
FD-5a (1- ·

Date: 06/21/07 Time: 13:41

Case ID: 31E-MM-108062 Serial: 55

Description of Document:

Type : FD909
Date : 01/15/07
To :
From : IMAMI
Topic:

Reason for Permanent Charge-Out:

transfer to subpoena sub

Transferred to:

Case ID: 31E-MM-108062-SBP Serial: 58

Employee:

b3 -2

b6 -2 b7C -2

312- MM-108062-55

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Date: 06/21/07 Time: 13:44
Case ID: 31E-MM-108062 Serial: 56
Description of Document:
Type : FD909
Date : 01/15/07
To :
From : MIAMI
Topic:
b3 -2
Reason for Permanent Charge-Out:
transfer to subpoena sub
Transferred to:
Case ID: 31E-MM-108062-SBP Serial: 59
Employee:
b6 -2
b7C -2

03956-332 31E- MM-108062-56

1

FEDERAL BUREAU OF INVESTIGATION

01/25/2007 Precedence: ROUTINE Date: To: Miami Attn: Third Party Draft From: Miami Squad PB-2 b6 -2 SA Contact: b7C -2 JIN Approved By: Drafted By: nk Case ID /#: 31E-MM-108062 (Pending) Title: ~ JEFFREY EPSTEIN: b3 -1 b6 -1 b7C -1 WSTA - CHILD PROSTITUTION Synopsis: To request funds for expenses associated to the above captioned case. Enclosure(s): Enclosed for Miami Third Party Draft: Details: SA requests Third Party Draft provide b3 -2 b6 -2 b7C -2 Prior authorization was obtained from ASAC SA requests Third Party Draft provide

31E-MH-108062-57

To: Miami From: *anti Re: 31E-MM-108062, 01/25/2007

LEAD(s):

,

Set Lead 1: (Info)

MIAMI

AL MIAmA

Third Party Draft shall'

associated with the captioned case.

•

• •

b3 -2

Automated Serial Permanent Charge-Out FD-5a (1-5-94) Date: 02/06/07 Time: 14:34 Case ID: 31E-MM-108062 Serial: 63 Description of Document: Type : OTHER Date : 01/23/07 ÷ ъз -2 То From : US DISR COURT b6 -3 b7C -3 Topic: EXECUTIVE FGJ SUBPOENA Reason for Permanent Charge-Out: transfer to the sub sbp Transferred to: Case ID: 31E-MM-108062-SBP Serial: 3 b6 -2 Employee: b7С -2

31E-MM-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:

Г ype : INLE ST
Γ ate : 01/2 24/07
0 :
F rom : ' US A ATTORNEY
Т opic :: FGJ SUBPOENA FOR

Reason for Permanent Charge-Out:

transfer to sub sbp

Transferred to:

Case ID: 31E-MM-108062-SBP Serial: 4

Employee:

b6 -2 b7C -2

b3 -2 b6 -3 b7C -3

3/E-MM-108062-6403956-345

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:
Type : OTHER
Date : 01/23/07
To :
From : US DIST COURT
Topic: EXECUTIVE FGJ SUBPOENA FOR
Reason for Permanent Charge-Out:
b3 -2
b6 -1
b7с -1
transfer to sbp sub
Transferred to:
Case ID: 31E-MM-108062-SBP Serial: 5
Employee: b6 -2
b7C -2

31E- MM-108042-65

Automated Serial Permanent Charge-Out
FD-5a (1-5-94)
Date: 02/06/07 Time: 14:37
Case ID: 31E-MM-108062 Serial: 66
Description of Document:
Type : INLET
Date : 01/24/07
To :
From : US ATTORNEY
Topic: RE: FGJ SUBPOENA SERVED ON
Reason for Permanent Charge-Out:
transfer to sbp sub
b3 -2
b6 -1
b7C -1
Transferred to:
Case ID: 31E-MM-108062-SBP Serial: 6
Employee:
Ъ6 -2
Ъ7С -2

31E-MM-108062-66

(Rev. 01- 31-2003) ( EC902157
FEDERAL BUREAU OF INV ESTIGA TION
7 Precedence: ROUTINE
To: Miami
02/15/2007
County RA
Ъ6 -2
b7С -2
From: Albuquerque
Squad 13/ Santa Fe RA
Contact: SA
Approved By:
Uh
AES-6
.1
Drafted By: aes
Case ID #: 31E-MM-108062 (Pend
Title: JEFFREY EPSTEIN:
WSTA-CHILD PROSTITUTION
( X)
ABS
Synopsis: To report results of Enclosure(s): Enclosed are the original
gent's ori
in the enc
and one co
iginal not
was condu
es.
ucted on
Results
302.
b6 -1
b7C -1

1."

31E- MM-108062-67

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

2

:

۰.

.

. ±

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 [REDACTED]
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:

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
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 _
FEDERAL BUREAU OF INVESTIGATION
FOI/PA
DELETED PAGE INFORMATION SHEET
Civil Action0 17-cv-03956
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