Gi “" . FD-515 (Rev. 12-19-06) @ Accomplishment Report e Date Prepared 29/0 S ‘Squad supervisor approval (Accomplishment must be reported and loaded into ‘ Date Loaded & b6 (please initial) ISRAA within 30 days from date of accomplishment) Date Loader's Initials b7C b7E - Investigative Assistance or Technique Used aE antes aa) File Number 4. Used, but did not help 3. Helped, substantially -3/€-MIMN-(68 Cez 2. Helped, minimally 4, Absolutely essential Drugs : : For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO A Fugitive Bankruptcy Fraud oO CT Rate FO IAT Rate FO IAT Rate FO IAT Rate FO IAT Computer FraudiAbuse ee ec Corruption of Public Official z | BR Aircrattasst. | | [PonRegisters | MMB Ncavcvvecar| iM 10 Wanted Fiyer Sub invest asstby FOIs) EI 2 _ Fest FOR) PUA ee] (p fetsunrrse | [soar waren IM cst] area) Ce Co Se cen | isd qs CY BE Se Se ee a ae | [Logats Asst. | [MME Tech. AgiEquip.| _ [MPoc- irc | SSE Cocca Coon P| Jiwewine [| [uco-croupt | [Fox tenosst | flere | Nome LAist oicesam| | [uco-ceuri] lvoe) | |_| A. Complaint / Information/ Indictment F, Conviction J. Civil Rico Matters Date; __._____ . (ClFederat [Local [1 Intemational LC) Federal [Local [ Intemational Also complete “Section G” Complaint Date; Conviction Dates Other Civil Matters Date: __S id . Peery ® Check if Civil Rico Complaint Subject Description Code —_____* (____) il: a Judicial Outcome —__. ___.°% Information Date: For 6F, G, H-include Agency Code Amount $ Indictment Date: [1 Felony or C) Misdemeanor Suspension: Years. Months__ (Plea or 0 Trial B. Locate / Arrest State:_______ Judicial District: ____ K. Administrative Sanction Date: __ (Federal []Locat [7 International - Subject Description Code —____.* G. U.S. Code Violation Type: Length: . Subject Priority: A 1B Oc __ Required for sections A, B, F and J . ' Suspension _[[] Permanent LocateDate:s | Ss (Federal Only) E Debarment 7 or Month i i njunction ‘ear__. Months..__. Arrest Date: Title Section # Count