EFTA01653379.pdf

Executed:10/8/2019 Executed 13:14 by:NYPDFINESTSYRNE941477 New York City Police Department FIREARMS - LICENSES AND PERMITS 'Application Info # 200600043 Name. GHISLAINE N MAXWELL NYSID: Application RESIDENCE PREMISES DOB: 12125/1963 Type: Application 2/21/2006 Sex: FEMALE Race: WHITE Date. Status. APPROVED SSN: 133784883 Mental Record: NO Country of Birth: FR Citizen: C Alias name: Height: 58" Eye Color: BROWN Military Record: YES Weight 120 Hair Color: BROWN Criminal Record: YES Person Address Street #: 116 Street Name: E 65 APT or Suite #. Precinct: 020 City: NEW YORK Stale: NY Zip Code: 10021 tome Ph Num: 2125353030 Business Ph Num: 2127509895 Business Address Street #. Street Name: City: State: License Permit Details - CANCELLED ype: RESI. PREML._ Issued Date: Exa:ration Date.. 12)25)2012 Renew• Stat CD: Renewed cum Num. 2006002458 Gun Purchases Serial # Weapon Information Status Purch Auth Purch Dt Purch Auth Insp Dt !rise Dt # Tax# KMB076 Type: PISTOL. SEMIAUTOMATIC Sold to Gun 12/12/2006 12/12+2006 2006257242 12+14)2006 111111 Dealer Make: GLOCK GMBH (AU 8 US) Model: 19 Caliber: H (9MM) EFTA01653379 Application Details S.A S.A LOCKED BOX RICHARD BARNETT 14 OAKLAND AVE PORT WASHINGTON ASSOCIATE 516 883 4448 Permit Details 0073 2009 03 - MOVED OUT OF CITY OR STATE LICENSEE MOVED TO FLA. F/A TRANS VIA WEST SIDE RANGE. RECIEPT IN FOLDER. "' CANCELLED BY 900539 - 2009- 11-16 - - FINALIZED BY 900539 - 2009-11-16 - 900539 EFTA01653380