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ine 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 used. (Examples: Birth
UING OFFICE ONLY El PPT BK CM 0 PPT BK SM 0 PPT CD C/R 0 PPT CD Sal O Marriage Certificate Date of MarriagelPlace Issued: o Court Order Date Filedtoun: From To: El Other: O Attached: 1111111 11111 Dale 111III 111{111,111 111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Po
e 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g., In Care Of - Jane Doe. Apt a 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 used. (Examples: Birth
ISSUING OFFICE ONLY K PPT BK CM 0 PPT BK SIR K PPT CD C/R O PPT CD SfR O Marriage CerMicate Date of MarriagelPiace Issued: O Court Order Date Filedtoun: From To: O Other O Attached: 1111111 11111 Date IIUIIII~IIIHI 111I111 111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Pos
e 2: Clearly label Apartment, Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Of - Jane Doe. Apr a 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 used. (Examples: Birth
ISSUING OFFICE ONLY 0 PPT BK CM 0 PP7 BK SAR K PP7 CD C/R O PP7 CD SIR O Marriage Certificate Date of MerriagelPiece Issued: ID Court Order Date Filedtoun: From To' 0 Other K Attached: 1111111 11111 Date 111,111 DSS2 3(s_ 111 11 For Issuing Office Only Bk Fee _ Cd Fee EF Postage O
e 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Of - Jane Doe. Apt a 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 used. (Examples: Birth
SUING OFFICE ONLY K PPT BK CORO PPT BK SIR K PPT CD C/R 0 PPT CD SfR O Marriage Certificate Date of MarriagelPiace Issued: O Court Order Date Filedtoun: From To' 0 Other. K Attached: 1111111 11 1 11 Date 111101111111111 1111111 111 11 For Issuing Office Only —to 8k Fee_ Cd Fee. E
Entities connected to both MERWIN and Filedtoun

Jeffrey Epstein
PERSONDarren Indyke
PERSONLeon Black
PERSON
Philadelphia
LOCATION
Birth
PERSONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATION
the Internal Revenue Service
ORGANIZATIONU.S. Embassy
ORGANIZATIONJane Doe
PERSONthe Federal Claims Collection Standards
ORGANIZATIONSystem of Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONPassport Records
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONPassport Services
ORGANIZATION