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assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
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 National Passport Processing Center and Filedtoun
Leon Black
PERSON
Jeffrey Epstein
PERSON
Philadelphia
LOCATIONPassport Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONJane Doe
PERSON
Birth
PERSONSTATE DEPARTMENT FACILITY
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONDarren Indyke
PERSONU.S. Embassy
ORGANIZATIONSystem of Records
ORGANIZATION
the Internal Revenue Service
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATION