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WARD 2. Date of Birth (mm/ddlyyyy) 01 20 5. Social Security 3. Sex IA F x 6. Email Address 4. Mace of Birth (City & State N in the U.S.. of City & Country as it is presently known.) 1953 NEW YORK, NY Ki-4*.e14 i'MriTI2S1 Number top.. my emaiWomain.com) 7. Primary Contact Phone Number JEEVACATION
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
ocial Security Number 3. Sex IA F X Middle K D [_] O r! DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 6. Email Address to.g.. my [email protected]) 7. Primary Contact Phone Number [email protected] S. Ma
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
53 5. Social Security Number 3. Sex F x Middle K D L O DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & State N in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 6. Email Address (e.g.. my [email protected]) 7. Primary Contact Phone Number 8. Mailing Address: Line 1:
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
rst Middle zee+ Z•IC - taczct— 2. Date of Birth (mm/ddryyyy) 5. Social Security Number 3. Sex 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) 14 X 6. Email Address (e.g. 7. Primary Contact Phone Number 8. Mailing A ress: ins nee; . . Box, or URB. 9 E. 71S
a passport fee charge to your credit card. the Department of State will take action to collect the delinquent fees from you under 22 CFR Part 34 and the Federal Claims Collection Standards (see 31 CFR Parts 900-904). In accordance with the Debt Collection Improvement Act (Pub.L. 104.134). if the fees remain unpaid after 180 days and no
5. Social Security Number 3. Sex kt F X Middle ED [Jo D DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 6. Email Address (e.g.. my [email protected]) 7. Primary Contact Phone Number El MI ■ 8. Mailin Address:
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
dlyyyy) 01 20 1953 3. Sex IA F X Middle ED Lc) 1- 1, DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & Stare if in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 5. Social Security Number 6. Email Address (o.g.. my [email protected]) ■ 8. Mailing Address: Line I: Str
t fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
Entities connected to both City & Country and the Federal Claims Collection Standards
Leon Black
PERSONJane Doe
PERSON
Birth
PERSON
Jeffrey Epstein
PERSONSTATE DEPARTMENT FACILITY
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONPassport Records
ORGANIZATION
Philadelphia
LOCATIONOverseas Citizen Services Records
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATIONFiledtoun
PERSONPassport Services
ORGANIZATIONOVFRNIGHT
ORGANIZATIONU.S. Embassy
ORGANIZATION