From: Nancy Mion Sent: Wednesday, January 25, 2006 4:53 PM To: Karen Scandizzo Subject: RR: Request for assistance No, not that I remember. Oh no! Court at noon, I will be in the morning. Original Message From: Karen Scandizzo Sent: Wednesday, January 25, 2006 4:49 PM To: Nancy Mion Subject: FW: Request for assistance Did you work this one? My meeting was canceled so I am catching up on emails. Also, Alex and Miriam heard the same thing we were talking about with Tomlinson today. I will be in Tampa tomorrow. Court? Karen Ori inal Massa e From: Sent: Wednesday, January 04, 2006 7:20 AM To: Nancy Mion Cc: Karen Scandizzo Subject: Fw: Request for assistance Thank you for your recent assistance however, I am requesting one more favor, pursuant to an official police investigation, I am officially requesting any information as to what vehicles have been rented since 12/23/2005 when the 2005 Nissan Sentra bearing Florida tag W25-OIS had to be returned. I am inquiring about the possibility that another vehicle may have been rented in lieu of this one. The renter information would be below: Should there be any questions please don't hesitate to contact me either by telephone or email. Thank you in advance for your assistance. Jan W/M kr) 71- oc 0 0 Case No. 08-80736-CV-MARRA EFTA00228225
Address: 358 El Brillo Road Palm Beach, Florida 33480 Palm Beach Police Department 345 South County Road Palm Beach, Fl 33480 Case No. 08-80736-CV-MARRA EFTA00228226
VEN.11: 410392.4 LIC.ø: 3TF225 STALLS.: 01 PLYNGUIN HEMP Rate: GOUTY Cis: CDAR 940004 FUEL LEVEL IN: FULL FUEL LEVEL CUT: FULL 06/30/2001 1425 DS123265-2 TINE CUT TIME IN 06/10/2001 1613 06/30/2001 1425 *PCMARGES" MILEAGE IN: 7815 TOTAL I t N MILEAGE CUT: 5930 GENEXCISETAX 4.166% 14.92 TOTAL OILS DRIVEN: 1885 RentatVehSrg 20 Dye@ 3.00 60.00 LOBED AT VEH. CONDITION IN: ConftreitFee 53.50 AIRPORT K8 3411 under Age 25 20 Dys4 15.00 300.00 VehlicraFen 20 Dyse .23 4.60 TOTAL CHARGES 433.02 •*CREDITS/PAYMENTS" NET DUE 433.02 PAYMENTS -433.02 '1 414241IRS/LATE FEES PLY/UPO CNGS ADL OFF RØ DRIVING SIT CARD/CA I/ 433.02 ZERO BALANCE GE 0P4627/125 600337/125 per hair rate for lete returns is charged right after the start of new Rental Dey. 0.00 Case No. 08-80736-CV-MARRA P-000847 EFTA00228227
12-20.2005 14:48:46 4J8375 JJ8375 tulaD5 Report 00500 Page 0001 OPTION; A Dollar RA OPEN D3123266 CLOSED 1 NNE L 11 RET DATE/TNE 06.30.2001/1425 2 ADORE 12 RET LOC/DROP LIMP 3 C/6/2 13 VER/CL/RT/CL A10392/CDAR/TOON/200R 4 PM/OM/GEN 14 ODN/FUEL 5930/8 S LOCL OtT ISALNDER 15 EMP/OPEN ENP/ORW DP4627/DP4627/125 6 LT/ST/EX/9ER 541534676/N1/05.25.2006/• TON VIP 7 F01/0/EX V1/4559501000476428/11.02 A-RATES G-DTS/NISC 8 ATIT/IMIT 024916/434 B-DB/CUST M-RA CLOSE 9 SR/TT/ID DE/T/•/' C-DEPOSIT N-NOTES 10 NOTES • 0-OPTIONS 0-01NEI WINDOM OPTION: 1 EXTENSION PER =V 22267111 PER IPO 8 RBRTS 2 3 4 5 6 7 a 10 Key RA DS123265 NOTES 200106261514600083 -- End Of report Case No. 08-80736-CV-MARRA P-000848 EFTA00228228
VEM.B: 817622.1 LIC.M: 112801$ STALLS?: 05 NISSAN SENTRA Rate: WALK Cis: CAR 920001 11/25/2005 1043 HM112049-0 TINE OUT TINE IN FUEL LEVEL IN: FUEL 10/28/2005 1729 11/26/2005 1043 MEL LEVEL OUT: FULL ••CHARGES" MILEAGE IN: 11230 Days 1 Dye D 20.00 20.00 MILEAGE OUT: 8201 weeks 4 Wks 2 122.32 489.28 TOTAL MLS DRIVEN: 3029 TOTAL TAN 509.28 RA CLOSED AT VEN. CONDITION IN: YEN LIC FEE 29 Dys2 .47 13.63 West Pale Beach Into 69J FLA SRCKtG' 29 &tea 2.03 58.87 SUB TOTAL 581.78 STATE TAX 6.500% 37.82 SLARLIebility 29 Dys8 11.95 346.55 BANASIAX JANUSZ 358 EL BRILLO WAY TOTAL PURGES nttEDITS/PATIENTS•• 966.15 PALM BEACH FL 13480 NET DUE 966.15 1270 FL 04/07/2012 PAYMENTS -966.15 ADD, L DRIVER: None • FL Surehg include* $2 Ft St Srcrtg I .03 Recycle Fee Recto CUSTOMER HAS N01 USED 1HE AIRPORT IN TIE LAST 24 IRDURS. CREDIT CØ/ VI/•'•'••"• 966.15/= 11M3429/187 Aumas0/187 A per hour rate for late return. to charged right after the start of new Rental Day. ZERO Biala 0.00 Case No. 08-80736-CV-MARRA P-000849 EFTA00228229
12.20-2005 14:46:18 JJ8375 JJ8375 OPTION: N 1 WE l/F 8AMASIAX/JANUS2 2 ADDRESS 358 EL RAILLO WAY 3 C/S/2 P 4 PO/DIE/GEN 14 COM/FUEL 8201/8 S LOCI. OTT 56 15 ENP/OPfN EMP/DRN 10409/10409/187 6 LI/ST/EX/VER K22420531270/FL/04.O7-2012/` 7 PCP///EN V1/447011554C008274/02-07 A-RATES G-DTS/NISC ATIS/MIT 084032/1070 B-DO/CUST H-RA CLOSE 9 SR/TY/1D LILX/W/•/• [-DEPOSIT N-NOTES 10 NOTES RA EXT W1099044 D-OPTIONS 0.OTNER WINDOWS tuts05 Report 00493 Page 0001 Dotter RA OPEN IIII112D49 CLOSED 11 PIT DATE/TIE 11.26.2005/1043 12 NET LOC/DRCI: PRI/• 13 VEN/CL/RT/CL 817622/03PANALK/CONR OPTION: NOTES 1 CUS GRANDCHILD CI 2 EXT.DID ADV PRIMARY RNTR MUST EXT IICMTRC200511260522LOARNE 2 OW 2RDYS. 200511260522L0Aftwe 3 4 5 6 7 8 9 10 Key IA 1611200 End of report -- Case No. 08-80736-CV-MARRA P-000850 EFTA00228230
VFN.0: 817622.1 LIC.0: W28415 STALLO: 10/31/2005 1715 NN109904.4 05 NISSAN SENTRA Rote: 2ALK Cls: CM 920001 TIME OUT TINE IN FUEL LEVEL IN: FULL 10/03/2005 1053 10/28/2005 1715 FUEL LEVEL OUT: FULL "PURGES" HILEACH IN: 8201 Days 5 Dys 2 20.00 100.00 MILEAGE OUT: 7300 Weeks 3 Wks 2 122.32 366.96 TOTAL MLS DRIVEN: 901 TOTAL T i M 466.96 RA CLOSED AT YEN. CONDITION IN: VEN LIC FEE 26 Dys .47 12.22 West Palm leach Int' 69J FLA SRCI4RG 26 DysS 2.03 52.78 SOB TOTAL 531.96 STATE TAX 6.500% 34.58 SupLisblItty 26 Elyse 11.95 310.70 BAMASIAX JANUSZ TOTAL CHARGES 877.24 358 EL 'RILL° WAY '•CREDITS/PAYNENTS" PALM BEACH FL 31480 NET DUE 877.24 1270 FL 04/07/2012 PAYMENTS -877.24 ADCOL DRIVER: None • FL Surchg Incite:es S2 FL St Srchg S .03 Recycle Fes Rev., CUSTOM RAS NOT USED THE AIRPORT IN THE LAST 24 NOBS. CREDIT CARD/ v1/"""•••• (177.24 ZERO BALANCE 0.00 PR TP6177/187 J86605/187 A per hour rate for late returns Is charged right after the start of new Rental Day. Case No. 08-80736-CV-MARRA P-000851 EFTA00228231
12-20-2005 14:45:39 448375 .148375 00 twIt05 Report 110489 Page 0001 Screen Print OPTION: N Dotter RA OPEN 1111109904 CLOSED 1 NNE L/f 8ARASIAK/JANUS2 11 RET DATE/TME 10-28.2005/1715 2 ADDRESS 358 EL EMILIO WAY 12 RET LOC/DRoP P81/. 3 C/5/2 P 13 VEN/Ct/RT/CL 817622/CDAR/WALE/CDAR 4 PM/DOB/GEN 14 ODM/FUEL 7300/8 5 LOU. Cut 15 ENP/OPEN El4P/DR14 1316177/TP6177/187 6 LI/ST/EX/VER 8522420531270/FL/04-07-2012/• 7 FOP/I/EX VI/4470115340008274/02-07 A-RATES C-DTS/MISC 8 ATIOWAMT 003851/1070 8.08/GUST 11-RA CLOSE 9 SR/TY/ID PH/W/*/* C-DEPOSIT N-MOTES 10 MOTES W1898953 D-OPTIONS 0.OTHER WINDOWS OPTION: NOTES 1 CCI TO EXT FOR ANOTHER 30 DAYS ADV CANNOT EXT PAST 28 DVS 200510280859VT1385 2 HUST CO INTO CORP LOC TO RENEW CCMTRACT. 200510280859VT1385 3 EXT TIL 10.31/ADV NEW Fn. 200510280859VT1385 4 5 6 7 8 9 10 Key RA 811109904 End of report -- Case No. 08-80736-CV-MARRA P-000852 EFTA00228232
West P.1. Beech Int' BANASIAK JANUSZ 358 EL BRILLO NAY PALM BEACH FL 33460 1270 FL 04/07/2012 ADCOL DRIVER: None • FL SurcAg Includes S2 FL St Srchg I .03 Recycle Fee Rove CREDIT CARD AIR T CAIN DEPOSITS VI/""""'• 1066.00/A/=.. VEN.0: 817622.1 Lied!: 828GIS STALL,: 05 NISSAN SEWTRA Rate: IALK Clot COM 920001 FUEL LEVEL OUT: FULL MILEAGE OUT: 11230 CUSTOMER DECLINES LDW AND IS RESP011. SABLE FOR LOSS OR DAMAGE PER TERMS OF THE RENTAL AGREEMENT. UNP DECLINED SLI ACCEPT 9 11.95/DAY 322.65 PPP DECLINED ESP DECLINED Est Optional Coverages 322.65 BY YOUR INITIALS VW ACKNOWLEDGE YOU NAVE ACCEPTED OR DECLINED THE ABOVE OPTIONAL ITEMS: X CUSTOMER HAS NOT USED THE AIRPORT IN THE LAST 24 HDQRS. IAA SACKED/187 A per hour rate for late returns Is charged right after the start of new Rental Day. 12/23/2005 1040 TINE OUT 11/26/2005 1048 "ARITA/ RATES•• Noun 12.00/ Nils Dept 24.99/ mils Wake 124.95/ ■ls 499.60 May 24.99/ INLI UnlImitd Isla VII LIC FEE .47/Day 12.69 FLA ECHRG• 2.03/Day 54.81 Fuel 5.99/9st STATE TAX 6.500% 36.67 Est Optional Coverages 322.65 `•ESTIMATED CNARRES•• 926.62 TCY ARE RESPONSIBLE FM TOM PARKING VIOLATIONS. IF TO.1 FAIL TO PAY YEAR TICKETCS), ANY LEPAID TICKET(ST, PENALTIES, Ptus A $25.00 FEE PER CITATION, WILL IE BILLED TO KM CREDIT CARD. )1 ESTIMATED/ACTUAL MAIMS MY VARY TINE IN EST CMG Case No. 08-80736-CV-MARRA • P-000853 EFTA00228233
12-20-2005 14:45:56 JJ8375.2J8375 OPTICS: 1 NNE L/f ZATIASIAK/JAIIUSZ 2 ADDRESS 358 EL MILLE, WT 3 C/S/2 PALN MACH FL P11Ø/Ø 5 LC43. CNT tula05 Report E0492 Par 0001 Screen Pr int Dollar RA OPEN 1111115484 OPEN 11 RET DATE/TIE 12.23-2005/1040 12 RET LOC/DRC. Pil/• 13 VEN/CL/RT/CL 817622/CDAR/WALK/CDAR 14 coN/FuEL 11230/8 15 ENP/OPEN ETIP/DRId ST4CICED/STIEKED/187 6 LI/ST/UM* 8522420531270/fL/04.O7.2012/• 7 POP///ER V1/447D115340008274/02.07 A-RATES G-orsm:SC 8 A/118/ANT 050298/1066 8.08/GUST N-RA cum 9 SR/TY/ID 1LLK/V/• /• 0-DEPOSIT N-NOTES 10 NOTES • 0.OPTIONS 0-OTNEA WINDOWS Il•RD ONLY F2•SVIPE F3•ERASE f6•SEARCN f8•ESTINATE F9•VERICLES -- End of report -- Case No. 08-80736-CV-MARRA P-000854 EFTA00228234
Case No. 08-80736-CV-MARRA P-000855 EFTA00228235
United States District Court SOUTHERN DISTRICT OF FLORIDA TO: t SUBPOENA TO TESTIFY BEFORE GRAND JURY FGJ 05-02(WPB)-FriJNo. OLY-04 SUBPOENA FOR: [-I PERSON DOCUMENTS OR OBJECT[SJ YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury ofthe United States District Court at the place, date and time specified below. PLACE: ROOM: Palm Beach County Courthouse Room 4-A Juvenile Courts Building 205 N. Dixie Highway West Palm Beach, Florida 33401 DATE AND TIME: (Temporary location for the United States District Courthouse, West Palm Beach) August 18, 2006 9:00am YOU ARE ALSO COMMANDED to bring with you the following document) or object(s): Please coordinate your compliance of this subpoena and confirm the date and tim • of iour a arance with Special Agent iFederal Bureau of Investigation, Telephone: i3 Please see additional information on reverse This subpoena shall remain in effect until you arc granted leave to depart by the court or by an officatacting on behalf of the court. This subpoena is issued upon application of the United States of America 9f not applicable, eater "nom" DATE: August 2, 2006 Name, Address and Phone Number of Assistant U.S. Attomey o. Australian v II M M e,Suite West Palm Beach, FL 33401-6235 Tel: Fax Lase No. mi,-,LioarQ4- FERiliblE65itr: EFTA00228236
JAN.86 RETURN OF SERVICE' RECEIVED BY SERVER DATW05/ 042 PLACE fi v es/ ?J 4:3 es " 2 ri_. SERVED DA49697 04 PLACE_It —d it4tHot, ( fs / A) 6 )04 & ?c, / SERVED ON (NAME) SERVED c TITLE F8 I S —Pc —t. Jam-- 4y-kif STATEMENT OF SERVICE FEES TRAVEL SERVICES TOTAL DECLARATION OF SERVICE' I declare under penalty of penury under the Statement of Service Fees Is true and correct I Executed on 081$3746 laws of the United Stales of America that the foregoing information contained in the Return of Service and allh DA Sig Address of Server ADDITIONAL INFORMATION 1 As to who may serve a subpoena and the manner of Its service see Rule 17(d). Federal Rules of Criminal Procedure, or Rule 45(c), Federal Rules of Civil Procedure. 2."Fees and mileage need not be tendered to the witness upon service of a subpoena Issued on behalf of ale United States or an officer or agency thereof (Rule 45(c), Federal Rules of Chrll Procedure; Rule 17(d), Federal Rules of Criminal Procedure) or on behalf of certain Indigent parties and criminal defendants who are ratable to pay such costs (2$ USC 1525, Rule 17(b) Federal Rules of Criminal Procedure)' Case No. 08-80736-CV-MARRA P-000857 EFTA00228237
United States District Court SOUTHERN DISTRICT OF FLORIDA TO: SUBPOENA TO TESTIFY BEFORE GRAND JURY FGJ 05-02(WPB)-Fri./No. OLY-04 SUBPOENA FOR: PERSON DOCUMENTS OR OBJECT'S) YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District Court at the place, date and time specified below. PLACE: Palm Beach County Courthouse Juvenile Courts Building 205 N. Dixie Highway West Palm Beach, Florida 33401 (Temporary location for the United States District Courthouse, West Palm Beach) ROOM: Room 4-A DATE AND TIME: August 18, 2006 9:00am YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s): Please coordinate your compliance of this subpoena and confirm the date and time of your appearance with Special Agent 'ederal Bureau of Investigation, Telephone: 0 Please see additional information on reverse This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting on behalf of the court. CLERK (BY) DEPUTY CLERIC DATE: August 2, 2006 This subpoena is issued upon application Name, Address and Phone Number of Assistant U.S. Attorney of the Unit.. States of America NIPMOMMIPOINSmi West Palm Beach, FL 33401-6235 Tel: •If not applicable. emet "none " Tote wed a law of A0110 FORM 0RD•227 EFTA00228238
JAN.86 RETURN OF SERVICE' RECEIVED BY SERVER DATS 3/ 04 PLACE o ks. /. (pd a r e ea d rb SERVED DAT437 687 04 PLACE 22-_,I-d • (4.44-aporis IA) CV, A f;tic) r SERVED ON (NAME) SERV = TITLE Fs f STPacces_. 43-ef STATEMENT OF SERVICE FEES TRAVEL SERVICES TOTAL DECLARATION OF SERVICE? I declare under penalty of perjury under the Statement of Service Fees is true and correct. Executed on 0.8146 IIIIIIIM------- laws of the United States of America that the foregoing information contained In the Return of Service and DA Address of Server ADDITIONAL. INFORMATION 1As to who may serve a subpoena and the manner of its service *DA Rule 17(d). Federal Rules of Criminal Procedure, or Rule 45(c), Federal Rules of Civil Procedure. 2."Fees arid mileage need not be tendered to the witness upon service of a subpoena issued on behalf of the United States or an officer or agency thereof (Rule 45(c), Federal Rules of Civil Procedure: Rule 17(d), Federal Rules of Criminal Procedure) or on behalf of certain Indigent parties and criminal defendants who are unable to pay such costs (28 USC 1825, Rule 17(b) Federal Rules of Criminal Procedure)" Case No. 08-80736-CV-MARRA P-000859 EFTA00228239
U.S. Department of Justice Washington, D.C. [0530 Request for Financial Information (Authorization, Purchase Order, Receiving Report) This toms shall only be aid Mien request* linascial recce* aindividuah and paratrithoi of foe or rove irxhvidtrili I Purchase Order Number/DCNN: _Unit -19(03 2 Date Order Prepared 08/02/2006 1 Uwe Number: (Optional) FC.J 05-02(WPB) NO.051-04 (OLY-04) Section A - Authorization and Purchase Order I=M 4 Names and Address of Financial huutunon, Attn.: Sub na Com • fiance 5 Deliver To: Special Agent . Smite 500, Florida 33401, Tel. Federal Bureau of Investigation, 505 South Flagler Drive, 6 Return Due 08/18/2006 7 Remarks: FOR RED4BURSEMENT PLEASE RETURN THIS FORM, TIIE RECORD OF SERVICES, AND A COPY OF THE SUBPOENA. 8 Name of Requestor: (7)'pe or Print) 9 I ele hone Number' 10 Date of request: 08/02/2006 Section B - Financial Institution Invoice No Payment Shall Be Made I nkw I rocn‘es Arc Itcauzed Below Or On Your Form To Be flushed. I I Service/Financial Records Provided: Quantity Price Amount Cat Per Please note that reimbursement cannot be made for the records pertaining to corporations or large partnerships of six or more. IMPORTANT: The DCIA Mandates the use of EFT/DD. In order to receive payment complete the attached EFT enrollment Form. 0.25 Copy 11.00 Hour Clerical Tech 17.00 Hour Manager or Supervisor Do not Proceed with compliance: If coat will exceed 5300 without prior approval of Assistant U.S. Attorney/Budget Officer. PLEASE RF:FERENCE THE ABOVE DCNO ON YOUR INVOICE FOR PAYMENT. 12a Signature of Financial institution 12b Phone of Financial Institution Official: 13 Date Si ed: Total Amount Claimed By Financial Institution Section C - Receiving Report 16 Disallowance (See Attached) 14 I curtly that the attacks and services hood war I:cent:el IS Dar Received 17 Net to Financial Institution IS Right to Financial Privacy Act - Public Law 95430 (12 U.S.0 3401-3422) Request Pursuant To: (Cheek One 04) OBJECT SECTION CLASS 19 Siputure of Approval Official: O 3404 Customer Authorization 2540 20 A„......titegeweawirtivit CarS O 3405 Administrative Subpoena a Summons 2541 3 4 O 3406 Search Warrant 2540 O 3407 O 3408 O 3413 1 Judicial Subpoena Formal Wnttm Request Grand Jury Subpoena 2540 2540 110101q 254)) 21 Schedule and Voucher Number: O 3414 Special Procedures 2540 Der 22 Remadcs. El Funds Available PM l i Date 1 Budget Officer I This Form wy electrunicsIty produced 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 Right to Einaicial Privacy Act of 1978, P.L. 95.630, Title XL, 12 C.S.C. 3415. NOTE: Payments under this purchase order will be due on the 30a calendar day after the date of actual receipt of a proper invoice in the office designated to reit'.r the invoice. 'the Prompt Payment Act, Public Law 97-177.96 Stat. 85 (31 I.S.C. 180), Is applicable to payments under this purchase order and requires the payment to contractors of interest or overdue payments and improperly taken discounts. Determination of interest due will be made in accordance with the provision of the Prompt Payment Act and the Office of Management and Budge Circular A-125. PREPARATION INSTRUCTIONS ITEM I - A Purchase Order Number will be prepnnted on each form This number will be used for reference purposes on any correspondence relating to this specific request for financial information. ITEM 2 - Self explanatory. ITEM 3 - This block may be used to identify the specific case for which the financial information is required. This Nock may he tell blank. SECTION A - AUTHORIZATION AND PURCHASE ORDER (To he completed by the requesting official). ITEM 4 Enter the name and mailing address of the finsicial institution being requested to furnish financial information. ITEM 5 Enter the and address to which the financial information is to be sent by the financial institution. This will normally he the name and the address of the requesting official. ITEM 6 • Enter the date the financial information is required. ITEM 7 - Include. if appropnate any pertinent information related to the purchase order not provided for elsewhere on the form ITEM 8, 9 and 10 - Self-explanatory. SECTION B - FINANCIAL INSTITUTION INVOICE (To be completed by the financial institution). ITEM II - Self-explanstory. Completion 0 f thts block consumesan itemized bill or instoce for reimbursement for thecosts incurred in providing the in formation requested. The DC IA Mandates the use of EFTDD. b order to recent payment complete the attached EFT enrollment Form ITEM 12 and 13 - Self-explanatory. SECTION C RECEIVING REPORT (To be completed by the requesting official, when the requested financial information has been delivered). ITEM 14 and IS - Self-explanatory. ITEM 16 - This block should he used to reflect any differences between the amount claimed by the financial institution and the correct amount to be reimbursed. Differences may result form computation errors, or failure of the financial institution to delver information requested. ITEM 17 - Enter the amount certified to he proper for payment. ITEM 18 - C'heck the box which identifies the vpropnate procedure authonred by the Act, which necessitates the request for financial information. ITEM 19 and 20 - These blocks must be signed and dated by an official of the organisation whose funds will be charged. Hu or her signature constitutes a statement that the records to which the insvice refers were required for official business and w ere provided by the financial institution in accordance with the Orden ng instrument. ITEM 21 - The Schedule and Voucher Number will be entered by the office which actually schedules the approved amount for payment by the Treasury Department. ITEM 22 - Enter, if appropriate, any data not provided for elsewhere on the Toren-mg report, such as, reasons for any claim amounts disallowed. Case No. 08-80736-CV-MARRA FORM 09D-211 APR. 84 Pap 2 of 3 P-00086 I EFTA00228241
VENDOR ELECTRONIC FUNDS TRANSFER (EFT) ENROLLMENT FORM Please comply to this information if you have not done so already PAYEE/COMPANY INFORMATION: Vendor Company Name: Address: Taxpayer ID Number Contact Person Name Telephone Number E-mail Address (If you would like to be notified via e-mail) FINANCIAL INSTITUTION INFORMATION: 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 street Suite 200 Miami, FL. Attention: Fax Numbe 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 (EMT A benefit of receiving payments by EFT is that your funds are directly deposited to your account at a financial institution and are available to you on the date of payment If you have questions regarding the delivery of the remittance information, please contact the financial institution where your account is held. If you have any questions on the completion of this form. please contact C FORM OBD-211 APR. 84 Par 3 of 1 Case No. 08-80736-CV-MARRA P-000862 EFTA00228242
U.S. Department of Justice Washington, D.C. 20530 Request for Financial Information (Authorization, Purchase Order, Receiving Report) This form shall only be used when issaaring fiat neat of indiallals rod pa-rentals cif &tor fan Savant I Purchase Oda Number/DOM,: 2 Date Order Prepared 11011-1963 08922006 MIS (a.,c Number (Optional) FGJ 05-02(WPB) NO.051-04 (OLY-04) Section A - Authorization and Purchase Order 4 Names and Address of Financial Institution. Attn.: Sub oena Com 'Hance 5 Deliver To: Special Agent Suite 500, Florida 33401, TeL: Federal Bureau of Investigation, 505 South Nagler Drive, 6 Return Date 08/18/2006 7 Remarks: FOR REIMBURSEMENT PLEASE RETURN THIS FORM, THE RECORD OF SERVICES, AND A COPY OF THE SUBPOENA. 8 Name of Requestor: (Type or Print) 9 T Nurnbcr 10 Date of request: 08102/2006 Section 8 - Financial Institution Invoice So Payment ShaIl Be %kik Experts. me Itcoural Below Or On Your Form lo lie Attached. I I Service/Financial Records Provided: Quantity Unit Price Amount Cost Per Please note that reimbursement cannot be made for the records pertaining to corporations or large partnerships of six or more. IMPORTANT: The DCLA Mandates the use of EFT/DD. In order to receive payment complete the attached EFT enrollment Form. 0.25 Copy 11.00 Hour Clerical Tech 1 7 .00 Hour Manager or Supervisor Do not proceed with compliance: If cost will exceed 5300 without prior approval of Assistant US. Altera, /Budget Officer. PLEASE REFIFtENCE THE ABOVE DCNO ON YOUR INVOICE FOR PAYMENT. I2a Signature of Financial hnutunce Official; l2b Phone of Financial Institution Official: Section C - Receiving Report 15 Date Rix i:-.1a1 Total Amount Claimed By Financial Institution 14 1 certify that the articles and services listed woe received: 16 Disallowance (See Aaaehal 17 Net to Financial Institution 18 Right to Financial Privacy Act - Public Law 95-630 (12 U.S.C. 3401-3422) Request Pursuant To: (Check Are Ony) SECTION OBJECT CLASS O 3404 Customer Authorization 2540 0 34°5 Administrauve Subpoena a Summons 2541 O 1406 Search Warrant 2540 O 3407 Judicial Subpoena 2540 0 34°8 Formal Wnttcn Request 2540 O 3413 1 Grand Jury Subpoena 2545 O 3414 Special Procedures 2540 22 Remarks. Funds Available 19 Signature of Approval Official' fl I C 1 4 21 Schedule and Voucher Numba: PCP Date I Budget Officer This Form was CleCtitalCallY PrOduced by libie Federal Fermi tat Case Ni. 08-80736-CV-MARRA Form MIMI P-00086r " Pagelot3 EFTA00228243
GENERAL This is a multipurpose form designed to sent as an Authonntion. Purchase Order. Itemized Invoice, receiving Report and Payment voucher in conjunction with "requests for financial information." pursuant to the Right m Financial Privacy Act of 1978, P.L. 95.630, Title XL, 12 U.S.C. 3415. NOTE: Payments under this purchase order will lx due on the 30" calendar day after the dale of actual receipt of a proper invoice in the office designated to receive the invoice. "the Prompt Pay mint Act, Public law 97-177, 96 Stat./ISCH U.S.C. 1801, is applicable to payments under this purchase order and requires the payment to contractors of Interest or overdue payments and improperly taken discounts. Determination of interest due will be made in accordance with the provision of the Prompt Payment Act and the Office of Management and Budge Circular A-125. PREPARATION INSTRUCTIONS ITEM 1 - A Purchase Order Number will be preprinted on each form This number will be used for reference purposes on any correspondence relating to this specific request for financial inforrnation. ITEM 2 - Self explanatory. ITEM 3 - This block nay be used to identify the specific case for which the financial information is required. This block may he tell blank. SECTION A AUTHORIZATION AND PURCHASE ORDER (To be completed by the requesting official). ITEM 4 - Enter the name and mailing address of the fins-lend institution being requested to furnish finsicial information. ITEM 5 - Enter the and address to which the financial information is lobe sent by the financial institution. This will normally be the name and the address of the requesting official. ITEM 6 - Enter the date the lnancial information is required. ITEM 7 - Include. if appropriate, any pertinent infomution related to the purchase order not provided for elsewhere on the form ITEM 8, 9 and 10 - Self-explanatory. SECTION B - FINANCIAL INSTITUTION INVOICE (To be completed by the financial institution). ITEM 11 • Self-explanatory. CompletionofOmblock constitutes an itemized bill or invoice for reimbursement for the costs incurred in providing the information requested. The DCLA Mandates the use of EFT/DD. In order to receive payment complete the attached EFT enrollment Fonts ITEM 12 and 13 - Self-explanatory. SECTION C - RECEIVING REPORT (To be completed by the requesting official, when the requested financial information has been delivered). ITEM 14 and 15 - Self-explanatory. ITEM 16 - This block should be used to reflect any differences between the amount claimed by the financial institution and the correct amount to be reimbursed. Differences may result form computation errors, or failure of the finamal institution to deliver Information requested. ITEM 17 - Enter the amount certified to he proper for payment. ITEM 18 - Check the box which identifies the appropriate procedure authonzed by the Act, which necessitates the request for financial information. ITEM 19 and 20 - These blocks must be signed and dated by an official of the organization whose funds will be charged. His or her signature constitutes a statement that the records to which the invoice refers were required for official business and were provided by the financial institution in accordance with the ordering instrummt ITEM 21 - The Schedule and Voucher Number will be entered by the office which actually schedules the approved amount for payment by the Treasury Department. ITEM 22 - Enter, if appropriate, any data not provided for elsewhere on the receiving report. such as, reasons for any claim amounts disallowed FORM (AID -211 APR 84 Page 2 ofS Case No. 08-80736-CV-MARRA P-000864 EFTA00228244
VENDOR ELECTRONIC FUNDS TRANSFER (EFT) ENROLLMENT FORM Please comply to this information if you have not done so already I PAYEE/COMPANY INFORMATION: Vendor Company Name: Address: Taxpayer ID Number Contact Person Name Telephone Number E-mai Address (If you would like to be notified via e-mail) FINANCIAL INSTITUTION INFORMATION: 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 Vendors Authorizing Official Name & Title of Authorizing Official 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 of receiving payments by EFT is that your funds are directly deposited to your account at a financial institution and are available to you on the date of payment. If you have questions regarding the delivery of the remittance information, please contact the financial institution where your account is held. If you have any questions on the completion of this form, please contact L at FORM OBD-21 I APR. M Par 3 of 3 Case No. 08-80736-CV-MARRA P-000865 EFTA00228245







