3
Shared Docs
3
Same-Page
3 / 3
Mentions
.511 8d. Weight: 51S1 Be. Color of Eyes: 1:34.44! 8f. Color of Hair: Mil 9. Place of Birth (City, State, County), (List city, county and country U.S.A) Uzi) • if outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le 10a. Date /afrb PRIVACY ACT NOTICE
in receipt of your request that you, or a person whom you employ or supervise, be allowed to visit and correspond in relation to legal matters with Motel Nittalijey Federal Register Number 87066-054 In order for such visiting or correspondence to be conducted, we must request that you, or your employee or your
Le.5 11 8d. Weight: 51S1 Se. Color of Eyes: 'earn' 8f. Color of Hair: Mil 9. Place of Birth (City, State, County), (List city, county and Country U.S.A) la•A • if outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le (979,yi,;\ 10a. Date /afril PRIVACY
in receipt of your request that you, or a person whom you employ or supervise, be allowed to visit and correspond in relation to legal matters with Motel Nittalijey Federal Register Number 87066-054 In order for such visiting or correspondence to be conducted, we must request that you, or your employee or your
: 6v.<1 Be. Color of Eyes: 1541A? 8f. Color of Hair: talAy 9. Place of Birth (City, State, County), (List city, county and country if outside the U.S.A) WM • 10. The above listed information is true and correct. Applicant's Signature lOa. Date PRIVACY ACT NOTICE Authority for Collecting Inform
in receipt of your request that you, or a person whom you employ or supervise, be allowed to visit and correspond in relation to legal matters with Motel Nittalijey Federal Register Number 87066-054 In order for such visiting or correspondence to be conducted, we must request that you, or your employee or your
Entities connected to both United States and Motel Nittalijey

Jeffrey Epstein
PERSON
Sarah Kellen
PERSONthe State of New York
LOCATIONFederal Bureau of Prisons
ORGANIZATIONO'Brien
PERSON
Mark Epstein
PERSON
Bennett
PERSONMorse
PERSONArehive
PERSONNational Crime Information Center
ORGANIZATIONIntox
ORGANIZATIONthe Legal Department
ORGANIZATIONFederal, Municipal County
ORGANIZATIONUSC 2585
ORGANIZATIONInmate Legal Activities
ORGANIZATIONAuthority for Collecting Information
ORGANIZATIONthe Mitigation Specialist/ Doctors
ORGANIZATIONBennett M. Epstein
PERSONSociety National Office
ORGANIZATIONNEW YORK STATE DEPARTMENT OF STATE
ORGANIZATION