Epstein Secrets

482 Page 14 of 22 EFTA00138414 requesting attorney with the proper inmate consent. However, all other subpoenaed records will be provided to the United States Attorney's Office for a determination of whether to release the documents, pursuant to the Touhv regulations, 28 C.F.R. § 16.21 et seq. 2. Medica

eight: Bd. Sleight: Be. Color of Eyes: Of. Color of Hair: 9. Place of Birth (City, State, County), (List city, county and country if outside the U.S.A) 10. The above listed information is true and correct. Applicant's Signature 1 C;i1 . Date PRIVACY ACT NOTICE Authority for Collecting Informatio

y and country if outside the U.S.A) 10. The above listed information is true and correct. Applicant's Signature 1 C;i1 . Date PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 USC 1303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 Purposes and dans; Information provided on this form will

.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

Uzi) • if outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le 10a. Date /afrb PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450: 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 purposes end Uses: Information provided on this form will

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

outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le (979,yi,;\ 10a. Date /afril PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 SSC 3301 purposes end Uses: Information provided on this form will

: 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

d 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 Information: E.O. 10450; 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 purposes end Uses: Information provided on this form will

Eyes: fX6) I Sf. Color of Hair:J_b)(6); I ll7llCl V7Vr.\ . 9. Place of Birth (City, State, County), (List city, county and country if o utside the U. S.A) r )(6)· (b)(7)(C) I 10. !he above listed information is true l Oa. Oa1.e and correct. Applicant's Signatl!re rb)(6) (b)(7)(C) I b)(6); (b)(7

0. !he above listed information is true l Oa. Oa1.e and correct. Applicant's Signatl!re rb)(6) (b)(7)(C) I b)(6); (b)(7)(C) PRIVACY AC~ NO~ICB Authority for Collecting Information: E.O . 10450; 5 USC 1303-1305; 42 USC 2165 and 2~55; 22 USC 2585 and 2519; a nd 5 USC 3301 Pvrpo99f and Oaes : Ir.!ormation provided on this form w