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ing Spat D MINS COW PT: OEmiedlbl Cedar Laid Sorts la& sato • Ode d US Oandlit ANTICIPATED 7/__/2014 Other Am orreasamt wets Ines* Nttet Name: DARREN K 'NOVICE Conte end (rtmnite4 Oratlem Rom 63 Ordowartitaisc I magi mvs my mann no Satin 7_J2014 I Company: DARREN K INDYKE PLLC WA nims DARREN K.

ARREN K 'NOVICE Conte end (rtmnite4 Oratlem Rom 63 Ordowartitaisc I magi mvs my mann no Satin 7_J2014 I Company: DARREN K INDYKE PLLC WA nims DARREN K. INDYKE. ESO Company. DARREN K. INDYKE, PLLC StantrOinag 575 LEXINGTON AVENUE, 4TH FLOOR Grr: NEW YORK Star NY Othtlene Male: &Iota Phone: Pair

ite4 Oratlem Rom 63 Ordowartitaisc I magi mvs my mann no Satin 7_J2014 I Company: DARREN K INDYKE PLLC WA nims DARREN K. INDYKE. ESO Company. DARREN K. INDYKE, PLLC StantrOinag 575 LEXINGTON AVENUE, 4TH FLOOR Grr: NEW YORK Star NY Othtlene Male: &Iota Phone: Pair** ii!istriation Li Credit Ceid plank

ort Office in Washington, DC, or, if abroad, to the nearest U.S. Embassy or Consulate. Thank you for your assistance with this matter. Sincerely, Darren K. K. Indyke General Counsel to Southern Trust Company, Inc. EFTA00304535 SOUTHERN TRUST COMPANY, INC. 6100 Red Hook Quarter, 83 St. Thomas, USVI 00

vs my mann no Satin 7_J2014 I Company: DARREN K INDYKE PLLC WA nims DARREN K. INDYKE. ESO Company. DA

2014 Other Am orreasamt wets Ines* Nttet Name: DARREN K 'NOVICE Conte end (rtmnite4 Oratlem Rom 63 O

ontnarogbeficknonnensov. unzad OttifitrtnitniAitGiA4 lA Jun 2013 • " "••• ifenwrin thwarca ;Sat otedzepenst — SEE PAGE 27 EFTA00304529 ilt, U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS csa°3" Tham bar ° 0148531PIPATCOS CAM 12-320•10 Plow Print Legibly Using Bleck Ink Only ESTIMATED BURDEN 401•11 1- Manta:

4 ' I 5 I 3 7 3 0 8- 2 5 6 Exp. Date I r r 19 Secunty Code: 3 5 7 OR American Express Exp Date I Seemly Code: Name as it appears On The Md. Darren K. Indyke Riling Address- ay. NV Stale NY Zip: 10022 Signature: 53 Customer Wetter. Baling. P.O.. Project or Reference Codes: :X COI tier Ca() Ser vide P

ntacted in the *tent of an emergency NM* DARREN INDYKE Address SucebRFD a or P.O. Box Aparenenteine C

I Seemly Code: Name as it appears On The Md. Darren K. Indyke Riling Address- ay. NV Stale NY Zip: 1

I Seemly Code: Name as it appears On The Md. Darren K. Indyke Riling Address- ay. NV Stale NY Zip: 10

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS C.-:.;noccrp.RTRAcA.Toz uolff40-0220 1,31 • Please Print Legibly Using Black Ink Only shy-won Ream R so MN at Attention:

rgency. Name Address: Street/RFD # or P.O. Box DARREN INDYKE 2 ICEAN COURT Orly State Zip Code Phone Numb

Name Address: Street/RFD # or P.O. Box DARREN INDYKE 2 ICEAN COURT Orly State Zip Code Phone Numb

rgency. Name Address: Street/RFD # or P.O. Box DARREN INDYKE 2 ICEAN COURT Orly State Zip Code Pho

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the

gency. Name Address: Street/RFD Si or P.O. Box DARREN INDYKE 2 KEAN COURT Orly State Zip Code Phone Numbe

Name Address: Street/RFD Si or P.O. Box DARREN INDYKE 2 KEAN COURT Orly State Zip Code Phone Numbe

gency. Name Address: Street/RFD Si or P.O. Box DARREN INDYKE 2 KEAN COURT Orly State Zip Code Phon

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the

gency. Name Address: Street/RFD it or P.O. Box DARREN INDYKE 2 KEAN COURT Glq State Zip Code Phone Number

Name Address: Street/RFD it or P.O. Box DARREN INDYKE 2 KEAN COURT Glq State Zip Code Phone Number

gency. Name Address: Street/RFD it or P.O. Box DARREN INDYKE 2 KEAN COURT Glq State Zip Code Phone

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the

rgency. Name Address: Street/RFD M or P.O. Box DARREN INDYKE 2 KEAN COURT Crly Stale Zip Code Phone Numbe

Name Address: Street/RFD M or P.O. Box DARREN INDYKE 2 KEAN COURT Crly Stale Zip Code Phone Numbe

rgency. Name Address: Street/RFD M or P.O. Box DARREN INDYKE 2 KEAN COURT Crly Stale Zip Code Phon

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the

he information of a person not traveling with you to be contacted in the event of an emergency. Name Address: Street/RFD or P.O. Box ApanmenhUnit DARREN INDYKE Orly State Zip Code Phone Number Relationship ATTORNEY 20. Travel Plans Departure Date (mmrddiyyyy) Return Dale (mmidd yyyy) Countrie

e Address: Street/RFD or P.O. Box ApanmenhUnit DARREN INDYKE Orly State Zip Code Phone Number Relationshi

ess: Street/RFD or P.O. Box ApanmenhUnit DARREN INDYKE Orly State Zip Code Phone Number Relationshi

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the

rgency. Name Address: Street/RFD # or P.O. Box DARREN INDYKE Orly State Zip Code Phone Number Relationshi

Name Address: Street/RFD # or P.O. Box DARREN INDYKE Orly State Zip Code Phone Number Relationshi

rgency. Name Address: Street/RFD # or P.O. Box DARREN INDYKE Orly State Zip Code Phone Number Rela

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the

Name Address: Street/RFD 8 or P.O. Box DARKEN INDYKE 2 ICEAN COURT Orly State Zip Code Phone Numb

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the