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: Bank Name Bank Address Bank Phone Number Nine Digit ABA Routing Transit Number Type of Account (Checking or Saving) Depositor Account Number Signature of Vendor's Authorizing Official Name 8 Title of Authorizing Official Please Return or Fax to: U.S. Attorney's Office Southern District of Florida 99 NE 4
uced by Elise Federal Fornw Inc Case NJ. 08-80736-CV-MARRA Porn O81)2I EFTA00228240 GENERAL This is a multi-purpose form designed to serve as an Authonation, Purchase Order, Itemized Invoice, receiving Report and Payment voucher in conjunction with "requests for financial information," pursuant to the Ri
: Bank Name Bank Address Bank Phone Number Nine Digit ABA Routing T ansit Number Type of Account (Checking or Saving) Depositor Account Number Signature of Vendor's Authorizing Official Name & Title of Authorizing Official Please Return or Fax to: U.S. Attorney's Office Southern District of Florida 99 NE 4
y Ebar Federal Fan tac. Case No. 08-80736-CV-MARRA APR 84 P-000W t on EFTA00228167 GENERAL This is a .nuln-purpose form designed to sent as an Authonation. Purchase Order, IICTILIZai Invoice. receiving Report and Payment voucher in cent unction with -requests for financial information.- pursuant to the
: Bank Name Bank Address Bank Phone Number Nine Digit ABA Routing Transit Number Type of Account (Checking or Saving) Depositor Account Number Signature of Vendor's Authonzing Mina' Name & Title of Authorizing Official Please Return or Fax to: U S Attorney's Office Southern District of Fonda 99 NE 4 street
lard try Elio rooms tome as APR 84 Case No. 08-80736-CV-MARRA P-000249 EFTA00227629 GUIEF1AL Dim es a null purpose form designed to vase as an Authonation. Purchase Oda. Itemized Invoice. Receiving Report and Payment voucha in conjunction with 'requests for firundal infoi notion; pursuant to the Right
Entities connected to both Signature of Vendor's and Authonation

United States
LOCATIONthe Return of Service
ORGANIZATIONFBI
ORGANIZATION
Department of Justice
ORGANIZATIONThe Debt Collection Improvement Act
ORGANIZATIONSouth Flagler Drive
LOCATIONPalm Beach County Courthouse
LOCATIONSouthern District
LOCATIONthe Office of Management
ORGANIZATIONthe United States District Courthouse
LOCATION
West Palm Beach
LOCATION
Kenneth Marra
PERSONSignature of Approval
ORGANIZATIONReceiving Report
ORGANIZATIONStates of America
LOCATION