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E THE APPLICATION IN THE DESIGNATED AREA BELOW I declare under penalty of perjury all of the following: 1) I am a citizen or non-citizen national of the Untied States and have not. since acquiring U.S. citizenship or nationality. performed any of the acts listed under "Acts or Conditions' on page four of the instr
e 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Of - Jane Doe. Apt a 100) MERWIN DELA CRUZ City NEW YORK State Zip Code Country. if outside the United States NY 10021 9. List all other names you have used. (Examples: Birth
718-3619055 Description TAXI: 5076 0729137E 65th S 07:58663W 168th $3530 11/14/14 POSTMATB.COM 8008826106 CA 8008826106 $75.74 11/15/14 AMERICAN KENNELS NEW YORK NY $28.26 212-750-5510 Description GENERAL MERCHANDISE 11/15/14 Teavana 422632 NewNew York NY FAST FOOD RESTAURANT $98.94
YMENT-THANK YOU Amount -$49,323.44 Credits Amount 12/08/14 ROSALYN FONTANILLA FOOD EMPORIUM 136703NEW YORK NY 2122496778 -$59.19 11/28/14 MERWIN DELA CRUZ B&H PHOTO STORE 0000NEW YORK NY 8006066969 -$434A1 New Charges Summary JEFFREY E EPSTEIN 8 42008 KARYNA SHULIAK ROSALYN FONTANILLA
rent F ICO' Score version than F CO' 8. or another type of credit score altogether FICO' is a registered trademark of the Farr Isaac Corporation In the Unded States and other countries. AMEX002192 SONY_GM_02745491 EFTA_00232747 EFTA01674150 JEFFREY E EPSTEIN DUPLICATE COPY Account Ending S .1200a p 22/22
cks 436,129.95 ensieneepenneden Payments Amount 12/27/18' Credits JEFFREY E EPSTEIN ONLINE PAYMENT- THANK YOU -335,708.65 Amount 12/31/18 MERWIN DELA CRUZ AMZNMKTP US AMZN.COM/BILL WA DIRECT MKTG MISC -$21.22 01/03/19 MERWIN DELA CRUZ IlTKUPERI041 LIGHTING FORT LAUDERDALE FL 9547334
rent FCC)* Score version than F CO' 8. or another type of credit score altogether. FCC,' is a registered trademark of the Fair Isaac Corporation In the Unted States and other counties AMEX002212 SONY_GM__02745511 EFTA_00232767 EFTA01674170 JEFFREY E EPSTEIN DUPLICATE COPY Account Ending 842008 p. 20/20
rd Ending Monthly Spending Limit: S 10000 Amount 0//06/19 BROWARD ht0TORSPORTS OF PA 084870018940 WEST PALM BCH FL MARC iACp8ROwAROMOTORSPORT MERWIN DELA CRUZ Card Ending Monthly Spending Limit: 315000 $210.70 Amount 06/25/19 AMAZON.COWM62CG7IDO MERCHANDISE ATAZN.CONVITILL WA $3428 AMEX
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