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. 3. Within 48 hours after the initial report required as stated in requirement #2 above, I MUST report in person to the driver's license office of the Department of Highway Safety and Motor Vehicles (DHSMV) and provide proof of initial registration as a sexual offender or predator to secure or renew a valid Florida driver's license or identifica
versity/School Name: Campus: Address (Street Address) County Employer (City) Contact: (Stale) (Zip) 3. K Student O E mph:not O Volunteer University/School Name. Start Date: End Date: Campus: Address. (Street Address) County Employer. (City) Contact: . (State) (10) Cyber Communication Accounts K
3. Within 48 hours after the initial registration of information as required in ff2 above, I MUST report In person to the driver license office of the Department of Highway Safety and Motor Vehicles (DHSPAV) and provide proof of initial registration as a sexual offender or predator to secure or renew a valid Florida driver license or identificat
mpus Activity 0 I am NOT a student, employes, or volt, ntOr at • tchterstty or Institution of higher reaming. 1. E Sltodanl ❑Employs O Vo'interir University/School Name Address County Stan Dale Cimpun (Street Address) Employer: ity) End Date: Contact Slab.% Professional Licenses O I do NOT have any profess
LONY. 3. Within 48 hours after the initial registration of information as required in s2 above. I MUST report binge to the driver license office of the Department of Highway Safety and Motor Vehicles (DHSMV) and provide proof of initial registration as a sexual offender or predator to secure or renew a valid Florida driver license or identificati
Campus Activity O I am NOT • student, employs*, or valuators at a university or Institution of higher Miming_ 1. p som.m O Employ.. p Voluntary University/School Name Address County Stan Date End Date. Campus. (Street Address) Employer: (City) Contact: (State) (Zip) Professional Licenses a I do NOT have a
. 3. Within 48 hours after the initial report required as stated in requirement #2 above, I MUST report In person to the driver's license office of the Department of Highway Safety and Motor Vehicles (DHSMV) and provide proof of initial registration as a sexual offender or predator to secure or renew a valid Florida driver's license or Identifica
Address: (SSA Address) Courtly: Employer: (DIY) Contact (S.ate) (29) O Student O Employee O Vdialtaer Stan Date. __- Campus: End Date 3. University/School Name. Address: (&.teel Mesita) County Employer: (City) Contact. ' (State) (bp) Cyber Communication Accounts O I do NOT use any email addresses or
Entities connected to both the Department of Highway Safety and Motor Vehicles and University/School Name

Jeffrey Epstein
PERSONState Travel Information
ORGANIZATIONDHSMV
ORGANIZATIONLeon Black
PERSONChristopher Steele
PERSON
Palm Beach
LOCATIONBentley
ORGANIZATION
Chevrolet
ORGANIZATIONColor/Color Scheme
ORGANIZATIONEnforcement & Investigative Support
ORGANIZATIONHorne
LOCATION
Financial Trust Company
ORGANIZATIONNikki Fried
PERSONRon DeSantis
PERSONRichard L. Swearingen
PERSON
Land Rover
ORGANIZATIONAshley Moody
PERSONFlorida Statute 775.21
ORGANIZATIONRonda
PERSONMeese
PERSON