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through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
R ISSUING OFFICE ONLY O PPT BK CORO PPT BK SM O PPT CD CM O PPT CD Sal 0 Marriage Certificate Date of MarriagelPlace Issued: o Court Order Date Filedtoun: From To' O Other 0 Attached: 1111111 11111 Date !)111 SS' gft 111 11 For Issuing Office Only —0 , Bk Fee _ Cd Fee EF Postage
through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
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
through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
ING OFFICE ONLY EI PPT BK CM 0 PPT BK SIR 0 PPT CD C/R O PPT CD SIR O Marriage Certificate Date of Marriage+Place Issued: O Court Order Date Filedtoun: From To' 0 Other. K Attached: For Issuing Office Only —0 , Bk Fee Cd Fee. EF Postage Other 1111111 11111 Date DS-82 08-2013
through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
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
through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
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
through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
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
through the mail. By law, the fees are nonrefundable. Please visit our website at fravel.state.uov for detailed information regarding current fees. OVFRNIGHT nFi IVFRY CFRVICF. If you desire overnight delivery service for the return of your U.S. passport. please include the appropriate fee with your payme
UING OFFICE ONLY El PPT BK CORO PPT BK SIR 0 PPT CD C/R 0 PPT CD SfR O Marriage Certificate Date of MarriagelPiace Issued: O Cowl Order Date Filedtoun: From Toe 0 Other O Attached: 1111111 11111 Date 111101111111111 1111111 111 11 For Issuing Office Only —le Bk Fee Cd Fee EF Po
Entities connected to both OVFRNIGHT and Filedtoun

Jeffrey Epstein
PERSONLeon Black
PERSON
Philadelphia
LOCATIONDarren Indyke
PERSON
the Internal Revenue Service
ORGANIZATIONU.S. Embassy
ORGANIZATIONJane Doe
PERSON
Birth
PERSONINTERNATIONAL AIR TRAVEL
ORGANIZATIONPassport Services
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONPassoon Services
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSystem of Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONPassport Records
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATION