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a . : © 29/ 0¥ | * D-515 (Rev. 12-19-06) Accomplishment Report Date Prepared bé | , Squad supervisor approval (Accomplishment must be reported and loaded into Date Loaded x (please initial) ° ISRAA within 30 days from date of accomplishment) Date Loader’s Initials b7c b7E - - Investigative Assistance or Technique Used . mee alret ie File Number 4, Used, but did not help 3. Helped, substantially |\3/€-MM-~1o6¥ C62! 2. Helped, minimally 4. Absolutely essential _ Drugs oO - * ie : For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO A Fugitive (| [“StatAcent Soc Sec No | Bankruptcy Fraud oO " | Rate FO (AT Rate FO {AT Rate FO 1AT Rate FO AT computerrrawdanuse | L___ ft [irene | Wlfisoreaso| | Juco. "|Oorunton of Pubic reat CI PARR Aranasst |_| |PenReoisers | Alivoavcy vices] i Marie Laude | computer || TPhoiocover | SM cxinnis incase | Sub Invest Asst by FO(s) C1 See Asst FOR) |) PRAT Peo | | [etsursrisc| | [search warrant] — [MMM Giisis Noo-Local| [IN Asset For Prog | RED Ce SS So ooo See Se | a eC pa! | Evid, Purchaso| IM Phone Tor Ree | MBF. Mon.-1Tc |_| aT Jircro [ | [uco-crounr | li Fo tarensst | rer | [MMB ss oiceam{ | [uco-croupn] —flvonrorve) | | A. Complaint / Information/ Indictment F. Conviction J. Civil Rico Matters Date: ClFederat [JLocal [Intemational (Federal [JLocat [] Intemational Also complete “Section G” Complaint Date; Conviction Dates. Other Civil Matters Date: _._ . Poet? » Check if Civil Rico Complaint 1 Subject Description Code ___* (____)* Judgment a ane Judiciat Outcome. oes Information Date: For 6F, G, H-Include Agency Code Amount’S Indictment Date:s__ C1 Felony or [] Misdemeanor Suspension: Years __.___. Months___ (] Plea or CI Trial . B, Locate / Arrest State:____._._ Judicial District; _____ K. Administrative Sanction Dates__ [}Federal [Local [7] Intemational - Subject Description Code ____® ; _ G. U.S, Code Violation Type: Length: , Subject Priority: OA OB (ec __ Required for sections A, B, F and J . . [] Suspe

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