EFTA Document EFTA01333914

~51-2425 13:04 DILITSIOPI CF LICENSING Mier PLORIGA OC PAWNOR OF STATE SACRA E. blORTNAN SACIIETAMY OF STATE OwlsPon OF UCENSING you EFT4CE 8Ox ear tAtattaSSET FLORIDA 773Itatal DATEPM:tun. DLL 9Y • 1996 ss NON EF!YE1N. JEFFREY t. 7,0 EL INI1Llj PALM otALII. FL JJ•ø0 IF ADDRESS IS I DETACH AND RET 850 245 5505 P.03 RENEWAL NOTICE P FOP CONCEALED WE APC11 OR FØ t CFpar icuGENO A -TO -1,o,r w,,,Exp,Afriåg 24 1>mi RACE le 34- 3t.£1, 3 2R‘LISiLkiE t y___ STREET &DORM istoto 4 FEB 1 1 (991 MAILING ADDRESS IF DIPPEREMP PROM MOVE) CITY TODD 684 3 s2g ~4 -O25-- COUNTY (MAI WRITECOPACCTTOMINSPACEATAMJff COPY OE THIS NOTICE ALONG WITH THE DOCUMENTATION AND FEES REQUESTED BELOW ZPOODE DEPARTMENT OSE WILT - 0J 1. Lu April/Aril *CLOW AND MARE IT NOTARILEU. G. V LUX PHOTOGRAPN MELTING THE SPECIFICATIONS OUTLINED IN THE IdbRAPH INSTRUCTIONS. A. K LANSE PEE. 4. Pi. c m t TUUK OCCUPATION: b. uul—UF—SIATE RESIDENTS HOST ALSO SUBMIT A COMPLCTED FINGERPRINT CARD ANY JAG FINGERPRINT CARD PAUCtSSING FEE (TOTAL $107). SEE cNtLOSED FANDEKMR1Al CARO INSTRUCTIONS MOM SPECIFIC INFORMATION. Ktilt vatMemi AT CERTIFIED CHECK. RUNE! ORDER OR CASHIER'S CHECK MAOt PATAbLt lu IMF fLUkIDA UtrAMINtNt uf STATE. PERSONAL CHECKS CANNOT DE ALLEPIEU. Fee) ANC NUT REFUNUAOLE. A 61, LATE FEE MUST @t RtMITYtU IF THE. APPLICATION FOR RENcWAL Is NOT stctlycy of lints UIVIS'uti PRAIA yu txplAATION OF TOW' LIGENSt. A LICENSc ANI‘m NA,s, Deem CAPANtU SIA MONTHS UR MORE CANNOT Dr RENEWED. NUILLET TUU Phial CANNY YOUR UkAbINAL LILEN$i AT ALL TINES WHEN IN PUbstsSION OF A COALE/ILE° WEAPON UR FIREARM (A COPY Of THE L14EN)t iS.NU LONGER VALID). PLEASt DIRECT ANY QUESTIONS TO SAE rubLac.inwuper SECTION AT 904/488-5381 OR TW4 AbOVE ADDRESS. __,.._ • AFFIDAWPOF CONTINUED LUGISILITT • THIS AFFIDAYrr is EXECUTED UNDER OATH. FALSIFICATION OR MISREPRESENTATION OF ANY PART OM ANY DOCUMENT sinutcts THE APPLICANT TO CRIMINAL PROSECVTION UNDER SECTRYI W.OE, FLOADA STATUTES. . - . • 004/Lx. ow 0 s dr/ ~Pay WIPIM40 r9Wrimli flyjilti,: " ka) ' 9hO. OWM API **0m. ~hag awl mhai , -3 i do SWEAR ANO AFFIRM THAT: at • : Hume Nan rurnaPaal • copy or Chapter 790. EWES SUNNI. rorlargarmiapoca And &yarns Malian, luMesdpijilln t4 to ~aka 05 I rem' in qualired under diaMOn rig 06(2) b(7) Fk5Abe Saab kin* esicned Wmpon or F "1n c, ybe aromMtria. ~Main b It opplicsbon OM se aboalebtlocyrratrta are Irve ta conict a., 7 STATE OF COVINng OF I,S+011Q1ct (or ~nod) • iv ••• ‘"---- pm/ COPY ' Pa. Sre 91* 14 9" 0, Alutormly known or ~Ana I . or Menelltan Pmgarood COPY PGA alum nacolliDe SDNY_GM_02764332 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00251174 EFTA01333914 850 245 5505 P.04 DIVISION OF LICENSING . APR-01-2005 13:04 NEWAL NOTICE &RE 1110000,00AROADANN STATE CVANON OF UCSNSINO .. • FOR . Thweris;wavizvett ie • ' Cc•ICPAILO »WON OR 1111E AR 0010E DATE • 11119 I.001010: N -50-12027 St NO. 8a .91 RACE EPSTE/My JEFFREY E. 30 EC 'ULLO WAY PALM REACH. FL 33080 wattaat MAR 29 • 2000 CHANGE Of A000.81% 285 IF ACCAEO INconam, PLANE awe 001001100 THI APACE PROVIDE D' MOVE. COMPLETE me 1,014.041WIG AfFNIMV7r cc oosmvaumnoommurrimigernmaans NONCtALONOINTH OpCUMSNTXTVICONOSIS meautrao EcLov2' . SIZIr Cairmuilbaj 1PISAFFIONfir 010010 ,1141.0 Ol °MK PALM on inerrisse=1341 ANY PART canwoocumensurs THE APPLICANT TO CRIMPIN.111O5WWWIN UNDER =DON 0/.08, 8.O81OA STATVIES. as. ale Idt the DOOMS apeemoil Jeffrey /*stria . • vato, tore duty swot thopie and saws . •• 100 WNW ,V0 0900 OW: C Hee teen tarnmed a Dm plOhiplat 710. Rattle SIMIAN, "*4 Eagan ald &WWS aixl I am 0) I ink, HAW uncle sake 00000 A a 800 SW* W Ito Ora ni Wean at Mem Use0 O The atonal artaiNd MPH merneetna add SOW decrees nine Intl oq 0a le tam al nano Ne COUNTY OF Soo la fa te lortypty taiaelm Pitt PLEASE teen* 01000 40 In 'T°S. Esc- ikesirr•-•• . of Pabst' Identliallon rpm M iderecticarnidae 2. • A CERTIFIED cnact. lernielt otion:ate cAiminks-ctock IN THE AMOUNT OP 865 MADE PAYABLE TO FLORIDA "DEPARTFINT DP STATE.. • A COLOR Pnototiourti tteerzo .THE SPECIFICATIONS OUTLINED ON THE REVERSE SIDE OF THIS FORK. . - PLEASE STATE TOUR OCCUPATION t PiOalfoL81. CON04tAilt . . • , • OUT-OF-Sag RESIDENT•$ MUST ALSO SUBMIT.* COMPLETED FINGERPRINT CARD AND $42 FINGERPRINT cur PROCESSING Fee CTOtAL 51073. FINGERPRINT CARD INSTRUCTIONS ARE ENCLEIEbi. A as LATE PEE MUST OE REMITTED IF THE RENEWAL APPLICATION IS NOT RECEIVED PRIOR TO EXPIRATION OP YOUR LIC-ENsh A LICENSE width MS BEEN EXPIRED SIX MONTHS OR MORE tAtiNoT elf RENEWED. PLEASE DIRECT ANY QUESTIONS TO THE PUBLIC INQUIRY SECTION AT .850/488-3381 off TEE ABOVE ADDRESS. SDNY_GM_02764333 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0025 I 175 EFTA01333915 APR-01-2005 13:04 DIUISI0N OF LICENSING 850 245 5505 P.05 COLOR PHOTOGRAPH SPECIFICATIONS • SAMPLE Pri0norAnuti ib MEAD SOS INCLUDING weal \s„......1 IR • MUST FIT M0E OVAL. 1 j e. 00 NOT CUT / rECT0GAAPH :7LAAL (7f6") HEM WIDTH • Photograph mus.I show (no subject In a trontW portrait as sh0wn above. (No hats, no sunglasses.) Photograph outer dimensionmust be larger lhan1.1/4"e$ 1 3/8"Rt out head sass (including hair) must lit within the illustrated oval (outer dimension does not inelude bottler if one Is used). • Photograph must be color with .a light colored background. (No fancy backdrop, lettering, etcl . • *urlace of the photograph must be gl0SSV. • Photograph must not be stained, cracitted, or mutilated and must be bat PhOlogrephiC image must be sharp and correctly exposed. photograph ml ia lity retouched. SOW* is ow swi staa osickrarele • Photograph must not be patted on cards or mounted in anwsztitia btosia at at inaniai 04463 One photograph of every applicant must be submitted. • Photographs must be taken within SQ days of the application date. • Snapshots, Polaroid pictures, group ptotures, or lull length perbarte will not be accepted. • To avoid mutilation of lhopholograph, lightly print your name and social security number on the back using crayon or tett tip pen. • Do not use give or staples - attach photograph with a paper cep. • Do Not Cut the photograph. • IMPORTANT NOTE — Facture to submit a photograph in compliance with theta specatications delay • the processing of your application. SDNY_GM_02764334 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00251176 EFTA01333916 APR-01-2005 13:05 DIVISION OF LICENSING 850 245 5505 P.06 • POSTAL MONEY ORDER SDNY_GM_02764335 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00251177 EFTA01333917