EFTA02428788.pdf

State of Florida Department of Corrections - Community Corrections TRAVEL PERMIT/INTRASTATE TRANSFER REQUEST Name: Jeffrey Epstein DC#: ant Date: 2/23/2010 ❑ Probation I Community Control C Drug Offender Probation ❑ Sex Offender ❑ Post Release ❑ Pretrial Intervention Offense: Procure Person Under Age of 18 for Prostitution III Felony OMisdemeanor Sentence Length: 12 months Community Control Termination Date: 7-21-2010 on TRAVEL PERMIT (O •Provisional ❑ •Temporary) Purpose of Trip: Business- Legal Meetings Name(s), address and telephone number of destination: Residence - 9 East 71" St., New York, NY Departure Date: 2-23-10 Return Date: 2-24-10 Method of Travel: Private Plane Accompanied By: Staff Relationship: Comments/Instructions: Contact Probation Officer on next business day upon return. ff1 Contact your probation officer upon return or as instructed. 80 Report any contact with law enforcement to your probation officer immediately. On Pursuant to section 775.13 Florida Statutes, if the visit to another county in the State ofFlorida will exceed forty-eight (48) hours and you have been convicted of a felony, you are instructed and required to register with the sheriff of the county you enter. Failure to comply constitutes a misdemeanor of the second degree. Approved by: Phone (Office/Aller Hours): Officer: Supervisor: all ❑ INTRASTATE TRANSFER REQUEST Proposed Residence: Relation: Phone: Proposed Employment: Supervisor: Phone: REPORTING INSTRUCTIONS: •Provisional Travel Permit Permission for non-sex offender to return to the state offender nas living in at the time of sentencing *Temporary Travel Permit: Permission for visits out of state for a period not to exceed thirty (30) days. WAIVER OF EXTRADITION (FOR OUT OF STATE TRAVEL ONLY) I have been given this permission with the explicit understanding that I am to continue to follow the rules and regulations ofmy supervision and to travel only to the location designated above. If l should be arrested in any other state during the period of the trip granted me, I will waive extradition and will not resist being returned to Florida. Offender: Witness: DC3-220 (Revised 8/3 I /09y Original: DC Offender Fite Copy: Offender Copy: Interstate Compact (for applicable Out-oatate Trove! Only) EFTA_R1_01498299 EFTA02428788