I - . . -

'cm FEDERAL BUREAU GF INVEETIGATIDN

8?83- . 

PAYMENTREQUEST

Reque?st?Type: 7 Pagym?nt Type: Cp?ti?amtiai
. ., .
Efficiai Bureau Name. Somali-Security Number Data at Request
Rife?? 133mg; gamma?
Fieid Of?ce 3 squad Casi. Ca-ntar 

 

 

34 2E)

L?uiw?m as;-

 

 

 

 

 

 

 

 

 

 

 

I Fa??e? Name Sada: Security or Taxpawr Mamba:
RM Tram? 7' 7  I 7 
is. @335 ?ne-?rm source ?a?wnem? Nu

Somme Number 3min! ?Nfumh?r - Payment Name Data of Apprmedi Pe?o? Period-
Waiver?equns?t ?owered me Cave-red Ti:
1 I Burghiey 

1

 

Financial Jufsl-i?ca?an:

 

 

 

 

 

 

hmu-rm-d has

'Fisaawgar .sc?c
?agentm CH5

 



 

 

 

 

 

 

Cm; Expense [Jesurimi?m ESewit?a $500533
Tamin? 

 

 

 

 

 

 

 

 

 

     

$509.33 

 

Vendor Mumber Grainy Numi?b?m omigmjan Number

 

Fg?limg Lpgj?me

 


a


a?

5
4


 

 

Du?cum?nt Number

Payment Reference Number

 

 

 

Ssg?natura atL Sash?er.

Date:

 

 

 

Friar M'e'ancss Baiar?scet?

 

This; Advance.

 

1.1355: RLth?:

 

 

Funds. Realm-3d snafu: {1mm an Hand

 

human! it); be Hea?mburssm:

 

 

 

fDa?curtie-m ?umber UraftNumher'

 

 

 

 

 

 

 

 
 

 

- Name
Appmad By Dailag, Mark 

'Datemme

(sxg?fzm 1' 

 

Certi?ed. by mam I 

mm HE: 39:23 

 

Of?mrEFF-134