ae e f . D-515 (Rev. 12-19-06) © Accomplishment Report Date Prepared (29, QO g ‘Squad supervisor approval (Accomplishment must be reported and loaded into . Date Loaded < OF b6 please initial) ISRAA within 30 days from date of accomplishment) Date Loader's Initials b7c - b7E - - Investigative Assistance or Technique Used ! i tl a Fils MUauGe 4. Used, but did not help 3. Helped, substantially | = \s/€-MM1- 168 C62! 2. Helped, minimally 4. Absolutely essential | Tugs Cl For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO | A Fugitive im | Stat Acent Sar Sec No | : Bankruptcy Fraud im | Rate FO IAT Rate FO IAT Rate FO AT Rata FO IAT | Computer Fraud/Abuse Oo || ee Fin. Analyst || Lab. Field Sup | | Juco-Nateack! — | os GonetinnfFanloondal 2 [PR Aa tcet |_| [Pon Resse | IMM oavor vecar| I 10 vencaryer | Money laundering | BBE computer [| [Photo cover [MM cams inet asst] | Sub Invest Asst by FO(s)_ [71] Sn Se ee Asst. FO(s) IPVOMAT Pe—2_ | | | | ELSUR/FISC | | [search wWarant| | ie Crisis Neg.- Local | | on areas MES SS Se Sooo [Assisting Agents Son Seq No X| | MM eno riso| | [socass. | JMMmaute-irc | MM TFOSICTO ae oe oe ee oe ee : |_| Evid. Purchase] [IIIB Phone Tol Ree | MB FLMon.-iTo || pe) | fico [| [uco- cron | QM Fo enact | A er [MB sick cam| [ Juco-crouen] von rattovex! | A. Complaint / information/ indictment F, Conviction J. Civil Rico Matters Date: ____. [Federal [JLocat Intemational [} Federal [JLocal [(] Intemational Also complete “Section G” Complaint Date: Conviction Dates Other Civil Matters Date: __-_ . eae Ld Check if Civil Rico Complaint O Subject Description Code __« (____)* sug a nan FOCBE G. Hnchude A Ged Judicial Outcome__-§__ss___ OX 3 ‘or 6F, G, H-Include Age! ode Information Date:_ gency Amount $ Indictment Date: C1 Felony or [} Misdemeanor Suspension: Years ______ Months.___ (Plea or O Triat : B, Locate / Arrest State:______._ Judicial District: ____ K. Administrative Sanctlon Date:___ ; [Federal [Local [J Internati