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Of or Attention if applicable (e.g.. In Care Of - Jane Doe, Apt * 100) City State Zip Code Country. if o
N 40 MIN Attention Read WARNING on page I of instructions Please select the document(s) for which you are applyiN: (20 U.S. Passport Book El U.S. Passport Card LJ Both ThaUS perspen card is a vaid for ranmanonal Pr ISM. Pa more remnant See race 1 of emir:tem I23 28 Page Book (Standard) CI 52 Page Book (
Of or Attention if applicable. (e.g.. In Cam Of - Jane Doe. Apt # 100) City ST THOMAS State Zip Code C
t The U.S. passport CI 28 Page Attention: Read WARNING on page I of instructions select the document(s) for which you are applylmr Book El U.S. Passport Card LJ Both card is gal valid lor irdernalkinal a travel. Fe, more information see page t ol instructions Book (Standard) fl 52 Page Book (Non•Stand
71ST STREET Address Line 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Oh Jane Doe. Apt # 100) MERWIN DELA CRUZ City NEW YORK State Zip Code Country. if outside the United States NY 10021 9. List all other names you have us
N:40 MIN Attention: Read WARNING on page I of instructions Please select the document(s) for which you are applybig: NI U.S. Passport Book 0 U.S. Passport Card LJ Both The U.S. passport card is gat valid kw international air travel. Fee more interniaten see page 1 el instructiens CI 28 Page Book (Standard
Of or Attention if applicable. (e.g. In Care Of - Jane Doe. Apt # 100 City NEW YORK State Zip Code NY
28 Page Book (Standard) Note: The 52 option is for those who Read WARNING on page I of instructions document(s) for which you are applyln 0 U.S. Passport Card LJ Both for iniernalanal air travel. For mere information see page 1 of instruetiees. la 52 Page Book (Non•Standarcl) frequently travel abroad du
f or Attention if applicable. (e.g.. In Care Of - Jane Doe. Apr a 100) MERWIN DELA CRUZ City NEW YORK St
:40 MIN Attention: Read WARNING on page I of instructions Please select the document(s) for which you are applybig: [XI U.S. Passport Book 0 U.S. Passport Card LJ Both The U.S. passport card is raj valid kr international of travel. For mace infermatsan see page I el a-ritualises. 0 28 Page Book (Standard)
Entities connected to both Jane Doe and Passport Card

Jeffrey Epstein
PERSONLeon Black
PERSONDarren Indyke
PERSON
the Internal Revenue Service
ORGANIZATION
Philadelphia
LOCATIONU.S. Embassy
ORGANIZATION
Birth
PERSONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONPassport Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONFiledtoun
PERSONOffice of Program Management and Operational Support
ORGANIZATION