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curity Code 000 OR American Express Exp. Date: Name as it appears on the card: Total Fees from Applicable FEE # Fees Travelers Page TOTAL Jeffrey E. Epstein Concierge Fee $225.00 X $225.00 Consular Fee X Billing Address: 9 East 71st Street Invitation Fee X City: New York State Zip: 10021 G3 Ser
n $475.00 Invitations must be Issued before the visa is processed. lnvita on processing times are in addition to visa processing times. Last Name: Epstein Date of Birth: Dec Traveler Information First Name: Jeffrey Middle Name: Edward County of Birth: USA Other: Country of Citizenship: gi USA L
Applicable FEE # Fees Travelers Page TOTAL Jeffrey E. Epstein Concierge Fee $225.00 X $225.00 Consu
Applicable FEE # Fees Travelers Page TOTAL Jeffrey E. Epstein Concierge Fee $225.00 X $225.00 Consul
l Goverment 0 Diplomatic Date of Issue:____ / _ / Date of Expiry: / _ _ / _ _ Day Month Year Day Month Year Issuing Authority: 0 US Department of State 0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ _ Name o
M: TO DE FILLED IN BLOO( !t11 ENS P3C0YEalIKA BEI1APYCb THE REPUBLIC OF BELARUS BI3ABAS1 AHKETA VISA APPLICATION FORM 1. Rocoreva/Farrely name Epstein 2. aeunrereme Jeffrey 3. DAMP NSW. lifiCesisubb y nem fling egiaciae/Other names and (or) maiden N/A S. aura napaietts/Date of tam S. Mena hali
( !t11 ENS P3C0YEalIKA BEI1APYCb THE REPUBLIC OF BELARUS BI3ABAS1 AHKETA VISA APPLICATION FORM 1. Rocoreva/Farrely name Epstein 2. aeunrereme Jeffrey 3. DAMP NSW. lifiCesisubb y nem fling egiaciae/Other names and (or) maiden N/A S. aura napaietts/Date of tam S. Mena haliesociiiirdlitace of birt
edether dcosnent Y. It naunera/Passport rails 469911707 12. Aare sawaws I Cote of ssue 217 0 5 2 1 0 1 1 0 10. 101 staameievilssung &minty US Department of State der moan Year U. Tapia. atanata/Valid oral 11- /gee imaszveNminxe or issue USA 216 015 2 1 0 2 I 0 day mional 14. Mac cranara HMO eficape
From: Lesley Groff Sent: Monday, March 18, 2019 6:39 PM To: Jefffrey Epstein Cc: Darren Indyke Subject: 2nd Valid Passport-Miami Office G3 believes we can request a 2nd Valid Passport by sending in =our old second passport an
t: Monday, March 18, 2019 6:39 PM To: Jefffrey Epstein Cc: Darren Indyke Subject: 2nd Valid Passport
alidity) passport, if =pplicable. If you previously =ave been issued a second valid passport, you must include this passport =ook for submission to US Department of State. If you have been issued a second valid =assport on more than one occasion, include the second valid passport issued most recently. If you previous
Entities connected to both Jeffrey Epstein and US Department of State

Lesley Groff
PERSON
Joi Ito
PERSON
American Express
ORGANIZATION
FedEx
ORGANIZATION
Puerto Rico
LOCATION
St. Petersburg
LOCATION
Sudan
LOCATIONConsulate
ORGANIZATIONConsular
ORGANIZATION
US Navy
ORGANIZATIONEmbassies
LOCATIONDelivery Next Business Day
ORGANIZATIONU.S. Visa
ORGANIZATIONUpgraded Delivery Service
ORGANIZATIONFederal Express Priority
ORGANIZATIONLost Passport Support
ORGANIZATIONTravel Agents, Government Agencies
ORGANIZATIONShipping Policies
ORGANIZATIONUPS Return Airbill Included
ORGANIZATION