Epstein Secrets

n Used as a resderce Adjudication Information 1. 2. Date Ackuthcated Crime Location of Adjudication/Conviction Victim Information (County) (Stele) Mew O Mum K Mmt K Mull (Ocuity) (Stale) Gender: Gender: Were you or are you sttjed to registration or community notification in another s

ede-al Canty Stale City Weight: 180 lbS Hah: Officer Name: Phone ( ) Officer Name: Phone: ( ) OffiCer Name: Phone'. ( ) County Out of State Travel Information (Complete If permanent, temporary, or transient address Is out of state) Permanently leaving Florida b establish a residence In another state/countr

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eight: 180 lbS Halt State Cry Officer Name: Grey Phone ( Officer Name: Phone: ( ) Officer Name' Canty Pl,nne ( ) Eyes: roue Out of State Travel Information (Complete If permanent, temporary, or transient address Is out of state) O Permanently leaving Florida to establish a residence in another stale/co

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sees Probation Type: O State Officer Name. O Federal O County Officer Name City Deicer Name Phone Phone ( ) Phone ( ) County Out of State Travel Information (Complete if permanent or temporary address Is out of state) • Permanently leaving Florida to establish a residence in another stale Temporarily l

es you wi be at INs address: From: (State) (ZIP) To: 7/22/2009 2. (Street Address) County: (City) Dates you we be at this address: . From (Stele) (TM) To: 3. (Street Address) County: (CM) Dates you will be at this address: From. (Stale) Roo To: 4. (Street Address) County: Pan Da

0 State FL Officer Name. Witams Phone- O Federal O County State Officer Name: Phone: ( ) Cry Officer Name: Phone: ( ) County Out of State Travel Information (Complete If permanent or temporary address is out of state) O Permanency leaving Florida to establish a residence in another state O Temporarily l

ployee 0 volunteer University/School Name: Stan Date: Eno Date ._ Campus: Address: 1 (Street Address) County: Employer. (City) Contact. (Stele) (Zip) 3. 0 Student 0 Employee 0 Volunteer University/School Name: Start Date: End Date:_ Campus: Address: (suet Address) County: Employ

ation Type: O State O Federal 0 County Officer Name: Phone. ( ) State Officer Name Phone: ( ) City Od.* Officer Name: Phone:( Out of State Travel Information (Complete if permanent, temporary, or transient address Is out of state) • Permanently leaving Florida to establish a residence in another state O

ida, this day of 20 - Lad. 'ke i-aft 22 fig L Blot Slabe Morey Pin Puck Dekinebbrfeelanse Homy Yelow. LW-emigre Green vcbm (provided by Stele Allarr•ey) / tukcuiSouNTY COURT JUDGE Form 025 EFTA00182161 IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, IN AND FOR PALM BEACH COUN

Hair Grey Eyes: Blue Ft. Officer Name: Sloane Phone: Slabs Officer Name: Phloem: ( ) City Officer Name: Phone: ( ) County Out of State Travel Information (Complete If permanent or temporary address is out of state) D Permanently leaving Florida to establish a residence in another state El Temporarily

ida, this day of 20 - Lad. 'ke i-aft 22 fig L Blot Slabe Morey Pin Puck Dekinebbrfeelanse Homy Yelow. LW-emigre Green vcbm (provided by Stele Allarr•ey) / tukcuiSouNTY COURT JUDGE Form 025 EFTA01625792 IN THE CIRCUIT COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, IN AND FOR PALM BEACH COUN

e Hair Grey Eyes: Blue Fl. Officer Name: Sloane Phone: Stale Officer Name: Rowe: ( ) City Officer Name: Phone: ( ) County Out of State Travel Information (Complete if permanent or temporary address is out of state) D Permanently leaving Florida to establish a residence in another state El Temporarily