U.S. Department of Justice Request for Washington, D.C. 20530 Purchase Order, Receiving Report) This rum %ban only be wed when requesting )f individuals and partnership, of live or fewer individuals. I Purelune Order Numberil/CNN: 2 Date thder Prepared: 3 Case Number: (Optional) 11011.1960 08102/2006 FOJ 05-02(WPB) NO.051-01(O1.1%01) (Authorization, Section A • Authorisation asd Purchase Order 4 Names and Address of Mtn. Hoover. AL 35243 Research Dept. 5 Deliver To: Special Agent S Federal Bureau of Investigatioa Florida 33401. Tel.: 6 Return Date WHIP2806 7 Remarks: FOR REIMBURSEMENT PLEASE RETURN THIS FORM, TIE RECORD OF SERVICES, ANDA COPY °ETRE SUBPOENA . 8 Name of ReqUestOr: (Type or Print) AUSA 9 Telephone Number: ID Date of request: 01102/2006 Section B - Invoice rvo l'aynIcnt :than tic made Unless t.Xplames Ate ucrosnu nen • WI- 5m sour roan to 1 1 SeraCe Plus idetl Quantity Unit Price Cost Per Amount Please note that reimbursement cannot be made for the records pertaining to corporations or large partnerships of six or more. IMPORTANT: The DCIA Mandates the use of EFT/DD. In order to receive payment complete the attached EFT enrollment Form. 0.25 Copy 11.00 How Clerical Tech 17.00 How Manager or Supervisor )o not proceed with compliance : if cost will exceed $300 without prior approval of Assistant U.S. Attorney/Budget Officer. PLEASE REFERENCE THE ABOVE DCN# ON YOUR INVOICE FOR PAYMENT. 12a Signature of 12b Phone o Official: 13 Date Signed: Total Amount Claimed By Section C- Receiving Report 6 Disallowance (See Attached) 14 I certify that the articles and services listed were received: 15 Dale Received: 7 N., 18 Right to Financial Privacy Act • Public Law 95.630 (12 U.S.C. 3401.3422) Request Pursuant To: (Check One (Mfy) OBJECT SECTION CLASS LI 3404 Customer Authorization 2540 7- 2 3405 Administrative Subpoena or Summons 2541 13 3406 Search Warrant 2540 4 3407 Judicial Subpoena