ATLANTA POLICE DEPARTMENT

Special Enforcement Section

Confidential Source Funds Disbursement

Complaint or Reference #

Controlling Officer’s Name	APD ID #	Unit

Funds Requested	Investigative Advance	Flash Roll

Intended Purpose

Signature
Date

If not on pre-approved list,
request approved by
APD ID #
Print Name of Supervisor

Signature
Date

Funds approved by
Confidential Fund Custodian
Date
Funds received by
Supervisor/ Investigator
Date

Expended funds of	$	documented in supplements dated
or other documentation attached
Unexpended Funds
I am returning funds of	$	to the Confidential Fund.
Controlling Officer’s Signature
Date
Custodian’s Signature
Date

Form APD 349 Revised 10/7/03

Formerly 32/C-135

ATLANTA POLICE DEPARTMENT

AJordan

2004-05-19

Atlanta Police Department