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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

ficial Please Return or Fax to: U.S. Attorney's Office Southern District of Florida 99 NE 4 street, Suite 200 Miami, FL Attention: Fax Number. The Debt Collection Improvement Act of 1996 requires that payments made by the Federal government, including vendor payments, must be made by electronic funds transfer (EFT). A benefit

r to receive payment complete the attached EFT enrollment form. Do not proceed with compliance: If cost will exceed 5500 without prior approval of Budget Officer Lazaro Feliciano. Fax any request to (305)530-7679 12 Signature of Financial Institution Official: 0.25 11.00 17.00 13 Date Signal: Sec

r Fax to: U.S. Attorneys Office Southern District of Florida 99 NE 4 street, Suite 200 Miami, FL. 33132 Attention: Jocelyn Coltazo Fax Number. The Debt Collection Improvement Act of 1996 requires that payments made by the Federal government, including vendor payments, must be made by electronic funds transfer (EFT). A benefit

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

Please Return or Fax to: U.S. Attorney's Office Southern District of Florida 99 NE 4 street, Suite 200 Miami, FL. 33132 Attention: Fax Number. The Debt Collection Improvement Act of 1996 requires that payments made by the Federal government. including vendor payments, must be made by electronic funds transfer (EFT). A benefit