Epstein Secrets

er information section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State. Credit Card/Debit Card Authorization forms can be found on our • .dos.ny.

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er information section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA. MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at

. ...ect ;-. ••. • \•• . ci) • te, • • .1'31EN T • • ...... Rev. 06'19 • WITNESS my hand and official seal of the Department of State, at the City of Albany, on July 15, 2019. Ca Brendan C Hughes Executive Deputy Secretary of State SONYGM_00 173312 EFTA 00194967 EFTA01305212 a c I et CERTIFICATE

er information section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at

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er information section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA, MasterCard or American Express. Checks must be payable to the 'Department of State'. Credit Card/Debit Card Authorization forms can be found on our website at

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