FEDERAL BUREAU OF INVESTIGATION [Epstein%20Part%2002]

FEDERAL BUREAU OF INVESTIGATION 
FOI/PA 
DELETED PAGE INFORMATION SHEET 
Civil Action# 17-cv-03956 
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(Rev. 01-31-2003) 
FEDERAL BUREAU OF INVESTIGATION 
Precedence: 
ROUTINE 
To: 
Miami 
Date: 
12/os/2006 
Attn: 
SSA~I __________ __. 
From: 
Miami 
Squad PB-2, _P_B_C_RA __________________ _, 
Contact: 
SA 
Approved By· I 
Drafted By: • ---------,-----..-----
Case ID#: 31E-MM-108062V 
J 
Title: )CHANGED 
JEFFREY.EPSTEIN; 
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WSTA - CHILD 
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PROSTITUTION 
Synopsis: 
To request assignment of co-case agent and submit 
documents to case file. 
Previous Title: Title marked 
11Changed 11 to reflect addit:onal 
subjects and the removal otj 
J 
---------------;:::=-----, 
TitJA nrevirusly carried as "JEFFREY EPSTEIN;! 
WSTA -
CHILD PROSTITUTION. " 
..._ __ 
..... 
..._ __________ 
____. 
Details: It is ~equested that SAi 
lbe assigned 
as co-case agent to the above capt·-1-·o_n_e_d __ 
c_a_s_e _____ _ 
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. 
♦♦ 
03956-297 
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'--
-~. 
,...._ 
(Rev. 01-31-2003) 
e 
FEDERAL BUREAU OF INVESTIGATION 
Precedence: 
ROUTINE 
To: 
New York 
Date: 
11/13/2006 
Attn: 
SSA...__ ________ 
____. 
Squad 20 
Newark 
SSA I 
RBRA._ __ z _______ 
b_.6 -2 
From: 
Miami 
PB2/PBCRA 
Contact: 
SA I 
Approved By: 
Drafted By: _ _______.~ 
Case ID#: 31E-MM-108062 
(Fending) 
Title: 
JEFFREY EPSTEIN; 
I WSIA -
CHILD PROSIIIJ.tON 
b3 -1 
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Synopsis: 
To request travel reference captioned case. 
b7C -2 
I 
Administrat]ve: 
Reference telcall between SAi 
I 
I 
_ 
and SSA_ 
I and ssAj,_ ___ 
......,pn 12/07/2006. 
Details: 
On 07/24/2006 the Federal Bureau of Investigation 
(FBI), Palm Beach County Resident Agency {PBCRA), opened an 
investigation invo1~· 
' 
• 
ffe 
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FBI Miami, PBCRA, request travel concurrence with FBI 
New York and Newark for the purpose of interviewing pertinent 
witnesses. 
SA I s I 
l and AUSA! 
I 
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will travel on 12/14/2006 and anticipate interviewing witnesses 
b7c -2,-6 
from 12/14/2006 -
12f)7/?QQ6 ft is anticipated th~t SA's~I,--_ _......, 
I 
!and AUSA._ _____ 
...... _will return to West Palm, FL on 
12/17/2006. 
03956-307 

To: 
Re: 
New York Fro~ Miami 
31E-MM-108062, 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. 
♦♦ 
2 
03956-308 
' 
_j

FD-302a (Rev. I 0-6-95) 
31E-MM-108062 
Continuation ofFD-302 of ____________________ ,On 11/27/2006 
,Page 
...JL 
03956-316 

i 
(Rev. 01-31-2003) 
FEDERAL BUREAU OF INVESTIGATION 
Precedence: 
PRIORITY 
To: 
Albuquerque 
Jacksonville 
San Juan 
From: 
Miami 
Squad PB-2, ~RCRB 
Contact: 
SA l 
Approved By: I 
I ~vy 
Drafted By: . 
-~ 
'----------..Y;, 
Case ID#: 31E-MM-108062 
Title: 
JEFFREY EPSTEIN; 
WSTA -
CHILD PROSTITUTION 
Date: 
12/06/2006 
Santa Fe RA 
Pensacola RA 
St. Thomas RA 
b3 -3 
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synopsis: 
To set leads for captioned investigation. 
Details: 
On 07/24/2006 the Federal Bureau of Investigation 
(FBI), Palm Beach County Resident A 
PBCRA) 
be an 
Jeffre 
E stein 
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b3 -1 
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PB 
in orma ion 
rom 
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.__--,------,------.,,..----,-,,...--------,----~------' 
the Citv of Palm Beach Police Department (PBPD)I 
I 
03956-318 
b6 -2 
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L 
To: 
Re: 
Albuquerque 
Flm: 
Miami 
31E-MM-108062, 12/06/2006 
maintains) 
Epstein also 
To date, the PBCRA continues- to develop witnesses and 
victims from across the United States. Due 
the media covera e 
unknown status of the state investi ation 
Case.Agents 
ave a target 
a e o 
anuary 
e AUSAs an 
or indictment. 
Based on the ongoing criminal investigatio1'-l-'---1.....i.: ....... ....i...i~.q 
re 
the assistance in establishin 
E stei 
rior 
o co 
, 
requested that the lead •re:Csl cont:ct SAi 
FBI Mi amj, West Palm RA. _ 
_ 
_ I or SA I 
I 
I 
I or inves igative direction and 
questions. 
3 
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03956-320 

To: 
Re: 
Albuquerque 
Flm: 
Miami 
31E-MM-108062, 12/06/2006 
LEAD (s): 
Set Lead 1: 
(Action) 
ALBUQUERQUE 
AT SANTA FE 
NM 
Tnteryi ew I 
I Jeffrey 
Epstein 1 s,l..._ ___________________________ 
---1 
Set Lead 2: 
(Action) 
SAN JUAN 
AT ST. THOMAS, U.S.V.I. 
..-----.......... ~...._,,iew.__ _______ ~cellu,.....-=--a.=.,;;==.:.;;;.."""'-="'=:::.==--=-=. 
,L----.----~residence tele hone number 
Set Lead 3: 
(Action) 
SAN JUAN 
AT ST. THOMAS, U.S.V.I. 
Locate and Iiterxiew I 
1 
telephone number ._I __ 
-,1_ 
1 IThis is the only information FBI 
Miami currently has on '------~ 
Set Lead 4: 
(Discretionary) 
JACKSONVILLE 
AT PENSACOLA, FL 
Intend ew I 
\r----,__-------1l ______ 
___J 
Set Lead 5: 
(Action) 
4 
03956-321 
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Albuquerque 
Flm: 
Miami 
JlE-MM-108062, 12/06/2006 
JACKSONVILLE 
AT PENSACOLA, FL 
...._ _____ 
I_o_t_-~e_r_,_r_i e_,_"'_I ____________________ 
___Jr 
♦♦ 
5 
03956-322 
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r 
(Rev. 01-31-2003) 
FEDERAL BUREAU OF INVESTIGATION 
Precedence: 
ROUTINE 
Date: 
12/20/2006 
To: 
Miami 
From: 
Miami 
I 
~5 
ral 
Contact: 
Approved By: I 
Drafted By: I 
case ID#: 
VJlE MM 108062 1I'endiig~ 
I 
_ 
(Pending) 
Title: 
CREATION OF i2 ANALYST NOTEBOOK CHARTS 
Synopsis: 
To document assistance provided to Intelligence 
Analyst (IA) I 
I in the creation of i2 Analyst 
Notebook Charts. 
Details: 
IntelliQence Assistant (Ia)I 
!provided 
assistance in the creation of i2 Analyst Notebook Charts for the 
above-mentioned case. The charts were roduced according to the 
specifications of Special Agent 
and did 
not require any research or analysis on the part of IaL---~ The 
charts I 
!dates of the target and 
included thel 
I 
I 
I during his stay and the day after his departure. Ia 
I 
I created a total of 16 charts. The charts ranged in 
date fro 
♦♦ 
03956-323 
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1

Automated Serial Permanent Charge-Out 
FD-Sa {1-5-94) 
Case ID: 31E-MM-108062 
Serial: 54 
Description of Document: 
Type: FD909 
Date: 01/04/07 
To 
=~I _______ ___, 
From: MIAMI 
• 
Date: 06/21/07 
Time: 13:39 
b3 -2 
Topic: .----------------------------, 
Reason for Permanent Charge-Out: 
transfer to subpoena sub 
Transferred to: 
Case ID: 31E-MM-108062-SBP Serial: 57 
Employee:~! _______ 
___. 
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03956-330 
3 / C -4/vf. - Io ro~;). ~ 

Automated Serial Permanent Charge-Out 
FD-Sa (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 
To 
=~I ________ _. 
From: ~M=I=AM=--I--------------------------~ 
Topic: 
Reason for Permanent Charge-Out: 
transfer to subpoena sub 
Transferred to: 
Case ID: 31E-MM-108062-SBP 
Employee~~--------~ 
Serial: 58 
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03956-331 

l 
Automated Serial Permanent Charge-Out 
FD-Sa (1-5-94) 
Case ID: 31E-MM-108062 
Serial: 56 
Description of Doc~rnent: 
Type: FD909 
Date : 01~1:/07 
To 
: I __ 
From :~M~l ....... .._.-------
Topic: 
• 
Date: 06/21/07 
Time: 13:44 
b3 -2 
-------------------------
Reason for Permanent Charge-Out: 
transfer to subpoena sub 
Transferred to: 
Case ID: 31E-MM-108062-SBP Serial: 59 
Employee,! 
~ 
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03956-332 

(Rev. 01-31-2003) 
• 
FEDERAL BUREAU OF INVESTIGATION 
Precedence: 
ROUTINE 
To: 
Miami 
From: 
Miami 
Squad PB-2 
Contact: 
SA 
Date: 
01/25/2007 
Attn: 
Third Party Draft 
Approved By: I 
I J4,:J 
Drafted By: I 
~nk 
Case I1: 31E-MM-108062..,--- lPB1:diA;I-
Titl.e: I J:FFBEY ::::E:::· 
~~c =;1 
W TA 
C 
STITJTION 
Synopsis: 
To request funds for expenses associated to the 
above captioned case . 
... 
_E_n_c_i_o_!';_u_'.!"_""_1_~_, _· __ 
E_n_c_J_o_s_e_d_f_o_r_M_i_a_m_i_T_h_i_r_d_P_a_r_t_y_D_r_a_f_t_:_I -------'J 
I 
I 
obtained from ASAC L------------J 
SA I 
!requests Third Party Draft provide 
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03956-333 
3/ €~~.l{~.J(')fl,cJb~ -S7 
1.. ... .,,._ •.: - ·~·-- " •• • • .... • l .(]• f 

To: 
Re: 
Miami 
From: lami 
31E-MM-108062, 01/25/2007 
LEAD(s): 
Set Lead 1: 
(Info) 
MIAMI 
AT MIAMI 
Third Partv ~raft sha11I 
,.__ __________ ~associated with the captioned case. 
♦♦ 
2 
b3 -2 
03956-334 

Automated Serial Permanent Charge-Out 
FD-Sa (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 
To 
:I 
I 
From: US DISR COURT 
~--------, 
Topic: EXECUTIVE FGJ SUBPOENA -I _______ ___. 
Reason for Permanent Charge-Out: 
transfer to the sub sbp 
Transferred to: 
Case ID: 31E-MM-108062-SBP Serial: 3 
Employee :I 
h/ 
.____ --l!,\ 
03956-344 
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Automated Serial Permanent Charge-Out 
FD-Sa (1-5-94) 
Case ID: 31E-MM-108062 
Serial: 64 
Description of Document: 
Type : INLET 
Date : 01/24/07 
To 
: I 
From: ~U-S ......... A_T_T_O_RN 
......... E_Y 
........................... ::_:_:_-:._-:::: ........................... ___, 
Topic: FGJ SUBPOENA FOR~I ...................................................... ~ 
Reason for Permanent Charge-Out: 
transfer to sub sbp 
Transferred to: 
Case ID: JlE-MM-108062-SBP Serial: 4 
Employee: __ I ______ l'Af( 
Date: 02/06/07 
Time: 14:35 
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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 
: I 
I 
From: US DIST COURT 
--------
Topic: EXECUTIVE FGJ SUBPOENA FOR~I------~ 
Reason for Permanent Charge-Out: 
transfer to sbp sub 
Transferred to: 
Case ID: 31E-MM-108062-SBP Serial: 5 
Employee:._, ___ _.I~ 
03956-346 
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Automated Serial Permanent Charge-Out 
FD-Sa (1-5-94) 
Date: 02/06/07 
Time: 14:37 
Case ID: 31E-MM-108062 
Serial: 66 
Description of Document: 
Type : INLET 
Date : :J/?4/Q7 
To 
: I 
From: ~=s,,......,A~T=T=o=RN=E=y-
.-------. 
Topic: RE: FGJ SUBPOENA SERVED ONI._ _____ 
...., 
Reason for Permanent Charge-Out: 
transfer to sbp sub 
Transferred to: 
Case ID: 31E-MM-108062-SBP Serial: 6 
Employee:~! ______ ____.I~ 
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r 
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(Rev. 01-31-2003) 
(7 
FEDERAL BUREAU OF INVESTIGATION 
Date: 
02/15/2007 
Precedence: 
ROUTINE 
To: 
Miami 
Attn: 
~~lro Beach county RA I 
From: 
Albuquerque 
Squad 13/ SSAaq~t-a_F_e_RA 
________________ ___, 
Contact: 
l 
Approved By: ,.____ _ 
_____.,~ 
1 
Drafte 
By: 
.__ _____ ____.laes Fft? ~ I, 
C se ID l• 31E-MM-108062 
D?ending)_ 
Title, 
1
,IEFFREY EPSTEIN; I 
WSTA-CHILD PROSTITUTION 
b3 -2 
b6 -1 
b7C -1 
Synopsis: 
To report results of covered lead. 
Enclosure(s)· 
Enclosed a]e the original and one copy of FD-302 • 
interview ofl 
_and agent 1 s original notes. 
DetaiJs• 
Ao interview of! 
kas conducted on 
I 
I Results 
of the interview are contained in the enclosed FD-302. 
Pending further direction from Miami, Santa Fe RA 
considers this lead covered. 
03956-348 
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FD-794 (Rev. 2-7-00) 
Aa.Classification 
8 
(AC) Crimina~e· 
~ 
(CF) Asset 
□,~GA) SOG 
(AD) Criminal OCDETF Case 
, 
(DC) Group II UCO 
(GB) OPS 
(AF} FC! Case 
{DO) OCDETF Group II 
(GC) Air Operation 
(BC) Informant/CW 
(El Group l 
(H) SSG 
(BO) !nformanVCW Providing Drug info. 
(F) FCI UCO 
(J) FC! Lookout 
Draft Request • 
j 2. Date 
I '--. I / 
I / t ~ I . 
I / f· 
I / 
3. Request for: 
( ) Advance (/)Expense 
4. Social Security No: 
I . I I 
I 
I 
i\ 
I I I 
I / 
I 
5. Payee Name: 
\ . 6. File No: 1 
I I I-
I 'I' \ I t I 
! • 1 ' r. • I : I 
16. 
Cat 
Item No 
7. 
Description 
8. 
Amount 
•, 
01 ------'-- -----'-'--i---------------------'-'-------
02 --· ·-----"-·· ----'1------------------------
03 --- -----1-----------------------
04 ---·---------------------------
05 ---l--'-'---'----1-----------------------
06 --'-1~-'------,--'-.'-' -----------------------
01·---1...,,-.... _..,.. __ ·_·_1-----------------------
9. Total$ r 
10. Justification: ________________________________ 
----i 
Asset/Informant File No. ________________ Symbol No. -----------1 
Payment/Code Name 
Period Covered ____ to ____ 
--1 
One Time Non-symbol Source Payment: 
True Name: _______________ 008: __ 
/ __ 
/ __ 
SSAN: _______ _ 
Date of Waiver: __ / __ / __ 
11. Payment for reimbursable expense - forfeiture or drug related? __ yes '_,_ No 
12. Requested by: 
, . 
. -'\-\ 
I 
j13. Telephone No: 
\ ' 
; 
. 
•" 
I 
', 
14. 
Approval 
~--
Date 
, 
-, 
I 
·:::\-
, 
\ 
<--'· 
,J 
I 
. 
, 
, 
.. 
Supervisor Initials: __ 
.,...._, __ 
_ 
SAC'J..~$.AO /AO/ SAS Approval: --"",! ____ ~--~-----:---~--
Supply Technician Approval: _________________ _ 
Draft Approval Officer: _________________ _ 
Procurement Authorization: 
No. _____ _ 
1s. Vendor No, _. 
• • 
Grqup . . . · I: 17 ·Obligation No. 
J .. ! . 
I· 
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! 
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I . No. l 
I 
· 
18, Cost Center: 
119. Squad/RA:· 
1 20. Follow~up Date: • 
I 
I 
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. I 
, 
I 
! I. I I 
· 
I 
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21 Document ·No.. 
. 
. 
I 
11- ' . 
• • • 
I 
• ~- CONF -
COMM_ 
, " I. 
.I .. 1 
·I . I 
·1 . . 
I 
:l . :I , .. I. 
.:l'. l 
! .. J. 
. . . .. .. 
.. 
. . . 
: 26. Settlement of.Advance: • Ptior month Advance Balance: $~ 
This Advance; 
. 
_ 
• 
Less: Re-~ipts: $ 
Funds Returned·and/ or·Cash oh Hand: ·$L...,_,........_.J---
03956-349 
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~.,.....-_:...,.;•~•....:..
- .... --f' 
• .:...._---'-•·•'..,_' ~-..J."u::·-Dai.-·mt. 
'"'iaJfn.hAllilJ. ~Bei·.-·.imt·w•wr.,,,o~rl,~i--------.··:--: .;..--_ ___: ___ _...._,..;. __ ~_...:....---~6 -1 . -5 
27. Oocum~nt-No. 
.·, 
b?c -1. -s 
28~ Draft'Nt>: 
Shaded areas for drah office use only 
Blue Copy • Admimstrative/Casc File 
I 
I 
d 
Classification: ------1 
Classified By: ----------------' 
Declassify on: ______ 
L O 
3 It,, .... r-1 /\1.- /OY o &, , 
- ((II 
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·1 

DRAFT REQUEST FORM INSTRUCTIONS 
REQUESTING EMPLOYEE - Complete blocks 1 to 13 as follows: 
I - 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 bencfittcd by a payment to an informant, asset or 
cooperative witness. (If more than one case, see No. IO below) 
7 - Brief description of the type of expense to be paid. 
8 - Amount requested for each type of expense. 
9 - Total amount requested. 
1 0 - Enter a brief justification for expense or advance requested. Indicate multiple cases benefitted by 
asset/infonnation/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 
infonnant/asset/CW file, maintained in the field office. 
l l - Check the proper answer to indicate if the requested expense is reimbursable as a.,<;set 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 fonn: 
APPROVAL OFFICER: 
15 - Vendor Number and Vendor Group Number. 
16 - Classify the expense using Catalog Number (CAT) and Item Numb<,'I'. 
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 CASlflER: 
21 - Document Number assigned to this transaction. 
22 - Check if this transaction is confidential (.CONF) or commercial (COlvfM). 
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. 
03956-350 

FIJ..794 (Rev, 2•7-00) 
Q 
1. Classi1ication 
\7)-
§ 
(AC) Crimma! 
e 
§ 
(CF) Asset 
......, § 
(GA) SOG 
(AD) Cumrnal OCDETF Case 
{OC) Group 11 UCO 
{GB) OPS 
(AF) FCI Case 
{DO) OCOETF Group I\ 
(GC) Air Operation 
(EC) lnfo1maot/CW 
(El Group ! 
(H) SSG 
, 
(80) lnfo1man!ICW Providing Drug info 
(Fl 
FCI UCO 
(JJ 
FC1 Lookout 
Ora:tt Reques1 
! 2. Da1e 
I -z.._ 3, 
I ...., I / I 
I 
\ 
l / 10 -:7 
3. Request for: 
( 
) Advance 
( v1Exoense ., l 4. Social Security No: I 
b3 
b6 
5. Payee Na 
6. Fi!e No: 1 ~ I I G"; 
1(Y\ 0\ I 1 0 1 ¥ 1 0 1 (~ 12.1 
b7C 
16. 
Cat 
Item No 
7. 
Description 
a. 
Amount 
01 
,Q....e.oc.r+ ~~ 
... '-I c.. \,..._ 
~ C. op ,1 J..;-? 0 
I 
l 
02 
I 
03 
04 
05 
oe 
07 
Q Tntr$ l 
[ 
1 0. Justification;J 
b3 -
I ,-, .-l(\,,_ 
W ..A_C.., {J \ --, 
J..:- ,·\l r. re,.;._ .'!.l 
\ 1/\ o.. ,-e:::; -\-
r.:c \ 
\. (.IJ'i 
2 
~ 
J 
~ 
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: _ _/ __ / __ 
I. 
No 
I 11. Pa:>rent for reimbursable expense* forfeiture or drug related? __ Yes 
-
b6 -
12. Requested by~ 
3. Telephone Ni 
1 
I 
I 
b7C -1 : I 
. 
14. 
>-
--·--4 
Supervisor Initials: 
SAC~/ AO / SAS Approval: 
Supply Technician Approval: 
Draft Approval Officer: 
Procu ·ement A, 1thorizatiorr 
15; V~ndcir NQ. 
.1 
. ta. -Cost Cent~, 
I -
21 Doc:urnen1 Nd 
23. br~tt Nq: 
-
7 
Date 
$7 
. 
l(.,S?() j 0:--z· 
" 
-
NO, 
~ 
. 
117 Obllga\1Qn No· I 
L 
19. Sql,l~o/RA: (!-
1 ,.-rf' 0. 
• 
I 
1 
~0Uciw~1.1p Date: 1~5, /iC> J fc;J~ 
[ 
-· • • -
· rr 
.-::... 
1..-.,•a 
j 24. O~te: ... ~.~· 1 / I 25. Ca$1'11e 
b3 -
b6 -
b7C 
2 
5 
-5 
:26. Settlement of A<Jvan~: Prior montn Adva.nc~ B;;llance: .$~ 
-
Thi~ Advanc13: 
$ 
-
L<3$S1 R~celpts: 
$~ 
i--,-,-
Funds Returned ~nor.or Gash on H~nd: 
$ 
>---
Amount to be .:--:~: ,.,. r~Arl:1 
27. Oocurnent No.1 j 
r 
c-~-
('' 
28, 
f w. oat~: 
·) 1 Ir·={-" 
r 
r--, 
Draft No: 
. .. 
.~ 
: •J. 
' 
Shaded areas for drcfl office use only 
I 
I 
' 
\,--
' 
I✓ 
/_ 
C!assi1ication: ______ 
039~6-3;51 
C!assif.1_:_e.=_d_:_B:....y_: ==:::::======---------'''---------' __ 

Thi. form sh•ll oaly b: u.,ed when r~quosring finJociof rccprds of individu.,11 ,cd pmncrsb,ps of live Qf f:wcr indi'lidu.a!s. 
2 Date Order Prepared, 
b3 -2 
Section A - A.uthori.i:i.tion and Purchase Order 
Please include PVN# on a ment: ~=======:======""==== 
5 D 
6 Return Dal~: 
7 Remarks: 
n 
-
-
I/ 
I 
., 
!0 cial.Jo req~isl: 
06 -
)et_ .Dl l~?C 
2,-6 
-2,-6 
I 
I 
. 
Settiop B • Finaacinl lnstitution lnVQlte 
, 
No Payment Shall Be M~de Unl~ss Expenses Are l!cmizcd Below Or On Your Fomi To Be Attached. 
11 Service/Financial Records Provided: 
Quantity 
Unit Price 
Amount 
Cost 
Per 
l 
I hereby certify that the services provided below were not perfonned relative b any cori: oration, joint ven!u es, etc., nnd p rtain only 10 accoun!s 
I 
(checking, savings, snare, loan, or credit card) of individual(s) or partnership(s) of five< r fewer p;1rtners. 
!
THI:: TAX IDENT!FICATJON NUMBER FOR "t"t.= t:'l"U A,.,,.,, A ! rt,J~TlTl lT!QN MU ST BE rNCL!JDED HERE BEFO RE PAYlY ENT CAN BE 
l 
MADE. TAX IDENTIFICATION NUMBER: J 
I 
b3 
b6 
-2 
-5 
b7 C -5 
SEARCH & PROCESSJNG 
REPRODUCTION COST 
MAIL COST 
~ 
-
l(JI~ SiglJC~ 1 I 
1 
1i1ution Official: 
Total Amount Claimed 
. 1 :{' fl 
By Financial Institulion 
= 
16 Djsal!owancc 
Settion C - Receiving Report 
j 
{See AuachedJ 
14 l certify that the articles and scNiccs !isled were received: 
~ 
15 Date R.ecci yed: 
17 Net 10 
.. 
Financial 
lns1il\Jlion 
!8 Righi to Financial Privacy A.ct - Pubiic Law 95-630 
19 Signature of Approving Official: 
(I 2 U.S.C. 3401-3422) Request Pursuant To: {Check One Only) 
OBJECT 
SECTION 
CLASS 
□ 3404 
Customer Authorization 
2540 
20 Accounting Classification Code 
D 3405 
Administrative Subpoena or Summons 
. 
2541 
PROJ 
FY FC 
t 
2 
) 
4 
5 
□ 3-406 
Search Warran\ 
2542 
I I l ! I ! 
D 3407 
Judicfol Subpoena 
25-13 
□ )408 
Formal Wri11en Request 
2544 
21 Schedule and Voucher Number: 
□ )-41) I 
Grand Jul')' Subpoena 
254,S 
D 3414 
Spec:ial Procedures 
DC# 
2546 
03956-355 
FORM OBD-1 ! t 

FD-794 (Rev. 2-7-00) 
.Classification. ___ 
i ------i~ 
§ 
(AC) Criminal 
§ 
(CF} Asset 
• 
(GA) SOG 
(AO) Criminal OCDETF Case 
(DC) ·Group II UCO 
(GB) OPS 
(AF) FCI Case 
(OD) OCDETF Group 11 
(GC) Air Operation 
(BC) Informant/CW 
(E) Group I 
(HJ SSG 
(BD) Informant/CW P.roviding Drug info. 
(F) FCI UCO· 
(J) 
FCI Lookout 
Draft Request . 
I 2.IJ'ate 
1 
1 
1 1 1 L 1 
1 1 I 
I : 
,,,. 
3. Reque!:tl for: 
( 
) Advance 
( _....yfxpense 
4. Social Security No: 
1 • 
I l ! \ 
I 
1\ 
I I I. I J -1~-
5. Payee Nam 
I 
6. File No: 1~ 
I I 1C I" 
1 • ~ 1 • q l I .• I. I '1· 
I -
16. 
Cat 
Item No 
7. 
Description 
8. 
Amount 
·01 
02 
03 
04 
05 
06 "' 
., 
.. 
07 
" 
9. Total$ 
1 0. Justification: ----------------------------------1 
Asset/Informant File No. ________________ Symbol No. -----------1 
Payment/Code Name 
Period Covered ____ to -----t 
One Time Non-symbol Source Payment: 
True Name: _______________ DOB: __ 
/ __ 
/ __ 
SSAN: _______ 
---1 
Date of Waiver: __ / __ 
/ __ 
11. Payment for reimbursable expense - forfeiture or drug related? __ '(es ~ 
No 
12. Requested by: f 
j\} _ 
.. \ 
, \ I 
13. Telephone No: l 
.. 1 ) ~ 
14. 
Approval 
Date 
Supervisor Initials: __ 
._--... ____ . __ ' 
/ 
-> ,,-!.__,. ... • 
, 
SAC /ASAC'/ AO/ SAS Approval: __,,,\_,_I_~-----""-'--'~·~· .... _ ....... _-;·,~,_-...... 
r'l...,.,_·_-_!_/._.,.,,_....,' ~,....,_ ...... \ __ 1 --•· ..... I __,./~7_·' __ 
Supply Technician Approval: __________________ _ 
Draft Approval Officer: _________________ _ 
ProcurementAuthorization: __________ No. _____ _ 
18. Cost Center: 
I· 19. Squad/RA: . 
J ~ll. Follow-up Date: 
,· 
I 
! 
.I 
I. 
• 
I.I I 
l I·. 
• 
I ·1 
I 
I 
1-1 
: -27. PocumentN<?-1 
~· ,. 
.. , 
, 
Shaded areas for draft office use only 
Classification. _____ 
_ 
Classified By: _____ 
_ 
b 3 -2 
b3 -2 
b6 -6 
b7C -6 
Blue Copy • Administrative/Case File 
Declassify on: ______ 
U/J 
J / C, ~ "1 '1 -r v 'rO IR) .. ,.--, 

I 
FD-794 (Rev. 2• 7-00) 
'i: 
Dra·tt Aeques1 
11:t\ 1. Classification 
m
G) Criminal ~is:: 
AD) C11m111al OCDETF Case 
AF) FCI Case 
BC) lriformanvcw 
BO) lnforrrranucw Providing Drug info. 
3,/ -e 
~ 
~ 
{CF) Asset 
V ~ 
(GA) SOG 
(DC) Group II UCO 
(GB) OPS 
(DD) OCDETF Group 11 
(GC) Air Operalion 
(E) Group I 
{H) SSG 
(Fl 
FC! UCO 
iJl 
FCI Lookout 
2. Date 
' Q / 1 I I 2-1 :s. I 
/ I 6 -:7 
.-
I 
I b3 -2 I 
~3-·._R_e_q~u_es_t_fo_r_:--r{---'-)_A_d_va_n_c_e----'{~._,.,.....:...1_E~xp~e_n_s_e_-i-_4_.S_o_c_ia_1_s_e_c_ur_it~y-r_Jo_:..L-------------...,....J 
bG _2 
5. Payee Name: I 
16. 
Cat 
II 
!tern No 
7. 
Description 
.a. 
Amount 
01 
o; 
------
- l 
I 
.:-:::::::::::::::::::::::::::! 
,__ ___ _ 
Qi....___.,_..... ----1'==========================================---
04 --- -----~----------------------
0~ --- -.....,.---~1---------------------------
06 --- -----~----------------------
97 ~· _....,_ ----1---------------------------
0 
Tnh,1-;ij 
r 
1 o. Justifica1ion\ _ __.1 _____ ---:----r----r---r-----------r-----,.j-l __ 
--l 
t'.A.~S \"::, \" 1..11' 
cC/. S-Q. 
\ 'I\. '1'(,,£.-1 \(~-\II..,'""' .'..J 
I 
--==-=--
'-1 
} ~~set/ln~7rmant File No. ________________ Symbol No. ------------1 
Payrti-;:;-:-;i:'Code Name 
Period Covered ____ to ____ 
---1 
One Time Non-symbol Source Payment: 
.,.. 
True Name: _______________ D08: __ 
/ __ 
/ __ 
SSAN: _______ .--i 
Date of Waiver: __ ! __ ! __ 
i 1. Payment for reimbursable expense - forfeiture or drug related? __ Yes ~ 
No 
12. Requested byf 
113. Telephone No: I 
14. 
Supervisor Initials: 
SAC~ AO/ SAS Approval: 
~Technician Approval: 
Draft Approval Officer: 
Procurement Authorization: 
,.,v. 
I 
Date 
I 
21 Dot;:urn~nt NQI 
I ! 2.2. CO~r " • COMM 
,--. 
1-------r-.....L.----i,.-__,..,..._...,_.__,,..-,---.,..,_____,, ......... --r----.----WI 
23. Draft N 
r 
J24, P~te: /'- ~ /-(f7 • l 25. Cashle 
This Adv~nce: 
$ 
b7C -2 
b3 -3 
b6 -1 
b7C -1 
b3 -2 
b6 -5 
b7C -5 
21;}. S~tt!em~nt oi Adv~nc~: Prior month Advance Bal~nce: $b E 
Lese: RE½ceip1~: 
$ 
..----------........ --
Fu11ds Returned and/ or Cash -0n·H~nd: 
$ ..... -. --.-.. -. _ ___. 
Amollri1 tn ha :Reimbursed:~ 
• 
27, Oocum~nt No.J 
28, Oraft N<;i: 
129, Oate: 
Shaded areas for draft office use only 
I 
Classification: _____ 
_ 
t) 
Classified By: _____ 
_ 
W},ltf' Orluim,l - 1.\1,hmillerl to C'onfiden1ial Services ~J:riit bv Draft Office Dec'assi'lv on: 
03956-360 

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