EFTA01333914.pdf

~51-2425 13:04 DILITSIOPI CF LICENSING 850 245 5505 P.03 Mier PLORIGA OCPAWNOR OF STATE SACRA E. blORTNAN SACIIETAMY OF STATE RENEWAL NOTICE FOP P OwlsPon OF UCENSING CONCEALED WE APC11 OR FØ t CFpar you EFT4CE 8Ox ear tAtattaSSET FLORIDA 773Itatal DATEPM:tun. DLL 9Y • 1996 icuGENO A -TO -1,o,r w,,,Exp,Afriåg 24 1>mi ss NON RACE le 34- 3t.£1, 3 2R‘LISiLkiE t y___ EF!YE1N. JEFFREY t. STREET &DORM istoto 4 FEB 1 1 (991 7,0 EL INI1Llj MAILING ADDRESS IF DIPPEREMP PROM MOVE) PALM otALII. FL JJ•ø0 CITY ZPOODE TODD 684 3 s2g COUNTY(MAI ~4 -O25-- IF ADDRESS IS I DEPARTMENT OSE WILT - 0J WRITECOPACCTTOMINSPACEATAMJff DETACH AND RET COPY OE THIS NOTICE ALONG WITH THE DOCUMENTATION AND FEES REQUESTED BELOW 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 FINGERPRI ANY JAG FINGERPRINT CARD PAUCtSSING FEE (TOTAL NT CARD $107). SEE cNtLOSED FANDEKMR1Al CARO INSTRUCTIONS MOM SPECIFIC INFORMATION. Ktilt vatMemi AT CERTIFIED CHECK. RUNE! ORDER OR CASHIER'S CHECK MAOt PATAbLt lu IMF fLUkIDA UtrAMINtNt uf STATE. PERSONAL CHECKS CANNOT DE ALLEPIEU. Fee) ANC NUT REFUNUAOLE. A 61, LATE FEE MUST @t RtMITYtU IF THE. APPLICATION FOR RENcWAL Is NOT stctlycy of lints UIVIS'uti PRAIA yu txplAATION OF TOW' LIGENSt. A ANI‘m NA,s, Deem CAPANtU SIA MONTHS UR MORE CANNOT Dr LICENSc RENEWED. NUILLET TUU Phial CANNY YOUR UkAbINAL LILEN$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 • APPLICANT TO CRIMINAL PROSECVTION UNDER SECTRYI W.OE, FLOADA STATUTES. OM ANY DOCUMENT sinutctsTHE .- " ka) . • 004/Lx. ow 0 s dr/ ~Pay WIPIM40 r9Wrimli flyjilti,: ' 9hO. OWM API **0m. ~hag awl mhai i do SWEAR ANO AFFIRM THAT: , -3 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) 14 9" 0, Alutormly known • iv or ~Ana I . ••• ‘"---- pm/ or Menelltan Pmgarood COPY ' Pa. Sre COPY PGA alum nacolliDe 91* SDNY_GM_02764332 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00251174 EFTA01333914  APR-01-2005 13:04 DIVISION OF LICENSING . 850 245 5505 P.04 1110000,00AROADANN STATE CVANON OF UCSNSINO Thwe.ris; wavizvett &RENEWAL NOTICE .. • 285 ie FOR • ' Cc•ICPAILO »WON OR 1111E AR 0010E DATE • 11119 I.001010: N -50-12027 wattaat MAR 29 • 2000 St NO. 8a .91 RACE CHANGE Of A000.81% EPSTE/My JEFFREY E. 30 EC 'ULLO WAY PALM REACH. FL 33080 IF ACCAEO INconam, PLANE awe 001 oosmvaumnoommurrimigernmaans NON 001100 THI APACE PROVIDED' MOVE. COMPLETE me 1,014.041WIG AfFNIMV7 CtALONOINTH OpCUMSNTXTVICONOSIS meautrao EcLo r cc v2' . 1PISAFFIONfir 0100,114 M Ir onCair APPLICANT TO CRIMPIN.110 1 .0 Ol °MK PAL SIZ ine rris se= muilbaj 134 1ANY PART canwoocumens 11O5WWWIN UNDER =DON 0/.08, 8.O81OA STATVIES. urs THE as. ale Idt the DOOMS apeemoil /*stria . vato, tore duty swot thopie and saws Jeffrey • 100 WNW,V0 0900 OW: . •• C Hee teen tarnmed a Dm plOh 0) I ink,HAW uncle sake 000 iplat 710. Rattle SIMIAN, "*4 Eag O The atonal artaiNdMPH merne 00 A a 800SW* W Ito Oraan ald &WWS aixl I am etna add SOW decrees ninni Wean atMemUse eIntl oq 0a le tam al 0 nano Ne COUNTY OF Soo la fa te lortypty taiaelm teen* 01000 40 In 'T°S. Esc- ikesirr•-•• of Pabst' Identliallon . Pitt rpm Miderecticarnidae PLEASE 2. • A CERTIFIED cnact. lern OP 865 MADE PAYABLE TOielt otion:ate cAiminks-ctock IN THE AMOUNT FLORIDA "DEPARTFINT DP STATE.. A COLOR Pnototiourti • ttee rzo REVERSE SIDE OF THIS FOR .THE SPECIFICATIONS OUTLINED ON THE K. . - PLEASE STATE TOUR OCCUPA TION t PiOalfoL81. CON04tAilt , . . OUT-OF-Sag RESIDENT•$ • • AND $42 FINGERPRINT cur MUS T ALSO SUB MIT.* COMPLETED INSTRUCTIONS ARE ENCLEIEbi. PROCESSING Fee CTOtAL 510 FINGERPRINT CARD 73. FINGERPRINT CARD A as LATE PEE MUST OE REM PRIOR TO EXPIRATION OP YOURITTED IF THE RENEWAL APPLICATION IS NOT RECEIVE SIX MONTHS OR MORE tAtiN LIC-ENsh A LICENSE width D oT elf RENEWED. MS BEEN EXPIRED PLEASE DIRECT ANY QUE off TEE ABOVE ADDRESS. STIONS TO THE PUBLIC INQUIRY SECTION AT . 850 /488-3381 SDNY_GM_02764333 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0025 I 175 EFTA01333915  APR-01-2005 13:04 DIUISI0N OF LICENSING 850 245 5505 P.05 COLOR PHOTOGRAPH SPECIFICATIONS ib • SAMPLE Pri0norAnuti MEAD SOS INCLUDING weal MUST FIT M0E OVAL. 1 \s„......1 j e. IR • 00 NOT CUT / rECT0GAAPH :7LAAL (7f6") HEM WIDTH as sh0wn above. • Photograph mus.I show (no subject In a trontW portrait (No hats, no sunglasses.) 1 3/8"Rtout head sass (including hair) must Photograph outer dimensionmust be larger lhan1.1/4"e$ inelude bottler if one Is used). lit within the illustrated oval (outer dimension does not ound. • Photograph must be color with .a light colored backgr (No fancy backdrop, lettering, etcl . • *urlace of the photograph must be gl0SSV. must be bat • Photograph must not be stained, cracitted, or mutilated and d. photograph ml ia lity retouched. PhOlogrephiC image must be sharp and correctly expose SOW* is ow swi staa osickr arele • Photograph must not be patted on cards or mounte d in anwsztitiabtosia at at inaniai04463 ted. One photograph of every applicant must be submit application date. • Photographs must be taken within SQ days of the perbarte will not be accepted. • Snapshots, Polaroid pictures, group ptotures, or lull length name and social security number on the back • To avoid mutilation of lhopholograph, lightly print your using crayon or tett tip pen. cep. • Do not use give or staples - attach photograph with a paper • Do Not Cut the photograph. raph in compliance with theta specatications delay • IMPORTANT NOTE — Facture to submit a photog • 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