ATLANTA POLICE DEPARTMENT

Confidential Source Payment Voucher

Unit	Voucher used for	Defendants
Controlling Officer	Confidential Source payment	$
1.
Information & expenses	$
Purchase of evidence	$
2.
Total	$
3.
Expenditures
File number	Amount	Exhibit number
Purchase of :	Drug evidence	Non-drug evidence	Confidential Source payment
Approved
Date	Control #
Narcotics Commander
Certification of Cooperating Individual
I certify that I received payment in the amount of
Dollars (U.S.) or the equivalent in another
currency. I understand that if funds are received for the purchase of evidence, that any unused funds must be returned to the government upon demand and that misappropriation will render me liable for prosecution.
CS number
Signature
Date

Remarks

Payer’s signature
APD ID #
Date
Witness signature
APD ID #
Date
Supervisor’s signature
APD ID #
Date

Approval by SES Commander (when required)
Name and Title
Signature
Date

APD Form 346 Revised 7/7/03

Formerly Form 32-C-134

ATLANTA POLICE DEPARTMENT

AJordan

2004-05-19

Atlanta Police Department