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Federal O County State City Officer Name: Grey Eyes: Blue Phone: ( ) Officer Name: Phone: ( ) Officer Name: Phone: ( ) County 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 state O
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
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
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
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
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
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
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 State Travel Information and University/School Name

Jeffrey Epstein
PERSONLeon Black
PERSONDHSMV
ORGANIZATIONthe Department of Highway Safety and Motor Vehicles
ORGANIZATIONChristopher Steele
PERSON
Palm Beach
LOCATIONSept & Dec
ORGANIZATION
Tallahassee
LOCATIONColor/Color Scheme
ORGANIZATIONBentley
ORGANIZATION
Chevrolet
ORGANIZATION
Financial Trust Company
ORGANIZATIONNikki Fried
PERSONRon DeSantis
PERSON
Land Rover
ORGANIZATIONAshley Moody
PERSONRichard L. Swearingen
PERSONRonda
PERSONMeese
PERSONFlorida Statute 775.21
ORGANIZATION