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oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
oy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 90955 Philadelphia, PA 19190-0955 Due
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
Entities connected to both Philadelphia and Filedtoun

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