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er to receive payment complete the attached EFT enrollment form. no not proceed with compliance: If east will exceed 3500 white& prior approval of Budget Officer Laza ro Feliciano Fax any request to (305)530-7679 12 Signature of Financial Institution Official: Section C - Receiving Report 14 I certi
Report and Payment voucher in conjunction with *requests for finale: information: pursuant to IlseRight toFinancial Privacy Act of 1978.P.L. 95.630, Title XI, 12 U.S.C. 3415. • NOT& Payments under this purchase order will be due on the 30th calendar day after l he dale of actual receipt of a proper Invo
roceed with compliance: If cost will exceed $500 without prior approval of 0.25 11.00 17.00 Copy How Oerlail Tech Hour Manger or Supervisor Budget Officer Lazaro Feliciano. Fax any request to (305)530.7679 —11-3 12 Signature of Financial Institution Official: Date Signed Total AmousitClaimed
ort and Payment voucher in conjunction with "requests for financial information," pursuant to the Right le:Winona& Privacy Act of 1978, P.L. 95-630, Title XI, 12 US.C. 3415 NOTE: Payments under this purchase order will be due on the 30th calendar day after the date of actual receipt of a proper invoice i
order to receive payment complete the attached EFT enrollment form. Do not proceed with compliance: Most will meal 550e without prior approval of Budget °Mkt I Fax any request to (305)530-7679 • 0.25 11.00 17.00 Copy Hour Clerical Tech Hour Manger or Supervisor 12 Signature of Financial In
ort and Payment voucher in conjunction with 'requests for financial information; pursuant to the Right toFinancial Privacy Act of 1978, P.L. 95-630, Title XI, 12 U.S.C.3415. NOTE: Payments under this purchase order will be due on the 30th calendar day after the date of actual receipt of a proper Invoice
Entities connected to both Budget and Title XI

Jeffrey Epstein
PERSON
United States
LOCATION
Ghislaine Maxwell
PERSONthe Southern District
LOCATION
Alexander Acosta
PERSONFBI
ORGANIZATION
U.S. Treasury
ORGANIZATIONSouth Flagler Drive
LOCATION
West Palm Beach
LOCATIONSignature of Records
ORGANIZATIONJanusz Banasiak
PERSONRooth
PERSONthe Return of Service
ORGANIZATIONSignature of Vendor's
ORGANIZATIONThe Debt Collection Improvement Act
ORGANIZATIONReceiving Report
ORGANIZATIONHour Manger
ORGANIZATIONFL Drivers LicNeh Svcs
ORGANIZATIONOLY-39
ORGANIZATIONTide XI
PERSON