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TION DATE: 12-31.2016 Please Print Legibly Using Black Ink Only LSTiMATED BURDEN: 40 MIN Attention: Re
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
ION DATE: 12-31.20113 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: al) MIN Please El U
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
ATION DATE: 1241.2016 Please Print Legibly Using Black Ink Only [STRIATED BURDEN:40 MIN Attention: Rea
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
ATION DATE: 12-31.20M Please Print Legibly Using Black Ink Only ESTIMATED BURDEN:40 MIN Attention: Rea
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
DON DATE: I2-3I -20I6 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: 40 MIN Attention: Re
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
ATION DATE: 1241.2016 Please Print Legibly Using Black Ink Only ESTIMATED BURDEN:40 MIN Attention: Rea
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
TION DATE: 12.31.2016 Please Print Legibly Using Black Ink Only [STARTED BURDEN:40 MIN Attention: Read
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
Entities connected to both Leon Black and Filedtoun

Jeffrey Epstein
PERSONDarren Indyke
PERSONJane Doe
PERSON
Philadelphia
LOCATION
the Internal Revenue Service
ORGANIZATION
Birth
PERSON
BERMUDA
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONU.S. Embassy
ORGANIZATIONPassport Records
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONMERWIN
PERSONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONPassoon Services
ORGANIZATION