Epstein Secrets

ring instrunent. ITEM 21 - The Schedule and Voucher Number will be entered by the office which stoat ly schedules the approved amount for payment by the Treasury Department. ITEM 22 - Enter, if appropriate, my data not provided for elsewhere on the receiving report, such as, reasons for any claim amounts disalbwed. EFTA

enrollment form. Do not proceed with compliance: If cost will exceed Moll without prior approval of 0.25 11.00 17.00 Copy Hour Clerical Tech Hour Manger or Supervisor Budget Officer liatir0 FtlICIAIRL Fax any request to (305) 530-7670 12 Signature of Financial Institution Official: 13 Date Signed

rdering insetuant ITEM 21 • The Schedule and Voucher Number will be entered by the office which comity schedules the approved amount for pan* em the Treasur. Denaturant ITEM 22 - Es, of appropriate. any data not provickd for elsewhere on the receiving report, such as, reasons fir any claim amounts dna lb

lic Law 9S-620 (12 U.S.C. 3401.3422) Request Pursuant To: (arectate 0400 SECTION 22 Remarks IS Dos Recited: 0.25 1100 17.00 How Oedcal Tech Hour Manger or Superstar To - tal A mou iClaimed By I- inarnial Institution 16 oran...... Arsacht 17 -N et to Financial Institution 0.00 OBJECT CL

ordering instrunent ITEM 21- The Schedule and Voucher Number will be entered by the office which stually schedules the approved amount for moment by the Treasury Department. ITEM 22 Enter, if appropriate, my data not provided for elsewhere on the receiving report,such as, reasons for any claim amounts disallowed. EFTA0

enrollment form. Do not proceed with compliance: If cost will exceed 5500 without prior approval of 0.25 11.00 17.00 Copy Hour Clerical Tech Hour Manger or Supervisor Budget OM/. 'Fax any request to 005)530.7679 12 Signature of Financial Institution Official: 13 Dat Signed: Total AmountClaimed