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ntact Information 4. 5. 6. A licant's Da time Tel hone Number A licant's Mobile Tele hone Number E-mail A licant's Address --/N/24o Part 5. Contact Information, Certification, and Signature of the Interpreter Interpreter's Full Name Provide the following information concerning the interpreter: 1.a. Interpreter's Family
nder deportation proceedings? 0 Yes 0 No (if yes, where and when) City, State: 5. When did the Victim enter the United States? 6. Through which Port of Entry did the Victim enter the United States 7. How did the Victim enter the United States? Flight Part D: Specific Information Pertaining to the Victim.
Signature (mmiddiyyyy) ► Applicant's Contact Information 4. a Number 5. A limes Mobile Tel hone Number 6. A licant's E-mail Address Part 5. Contact Information, Certification, and Signature of the Interpreter Interpreter's Full Name Provide the following information concerning the interpreter: 1.a. Interpreter's Family
r deportation proceedings? K Yes ❑X No (if yes, where and when) City, State: 5. When did the Victim enter the United States? Ma 6. Through which Port of Entry did the Victim enter the United States? New York, New York 7. How did the Victim enter the United States? Flight Part D: Specific Information Perta
Signature (mm/dd/yyyy) ► Applicant's Contact Information 4. a Number 5. A limes Mobile Tel hone Number 6. A licant's E-mail Address Part 5. Contact Information, Certification, and Signature of the Interpreter Interpreter's Full Name Provide the following information concerning the interpreter: 1.a. Interpreter's Family
r deportation proceedings? K Yes ❑X No (if yes, where and when) City, State: 5. When did the Victim enter the United States? Ma 6. Through which Port of Entry did the Victim enter the United States? New York, New York 7. How did the Victim enter the United States? Flight Part D: Specific Information Perta
tforingthit 4. Interpreter's Daytime Telephone Number 5. Interpreter's E-mail Address Fox= I-102 10/19/17 N Page 3 of 4 EFTA01699765 Part 5. Contact Information, Certification, and Signature of the Interpreter(continued) Interpreter Certification I certify that: I am fluent in English and ,which is the same language
proceedings? 0 Yes Ej No (if yes, where and when) City, State: 5. When did the Victim enter the United States? 1st Entry 09/0145 6. Through which Port of Entry did the Victim enter the United States? New York, New York 7. How did the Victim enter the United States? Flight oi3/40 5,1* -00,09;**000:00.111M01
Entities connected to both Contact Information, Certification and Port of Entry
Parole and Law Enforcement Programs Unit
ORGANIZATION
Jeffrey Epstein
PERSONMonitoring Group
ORGANIZATIONNational Crime Information Center
ORGANIZATIONRequesting Law Enforcement Agency
ORGANIZATION
Homeland Security
ORGANIZATIONAlbany
LOCATIONNew York State Division of Criminal Justice Services
ORGANIZATION
Department of Homeland Security
ORGANIZATIONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Michael C.Green
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONMonitoring Case
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATIONApplication for Replacement
ORGANIZATIONFederal Bureau of Investigation - New York
ORGANIZATIONU.S. Citizenship and Immigration Services
ORGANIZATION