Free Receipt for Passport - District Court of Arizona - Arizona


File Size: 81.5 kB
Pages: 2
Date: November 16, 2006
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 765 Words, 5,287 Characters
Page Size: 622.08 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/41472/111.pdf

Download Receipt for Passport - District Court of Arizona ( 81.5 kB)


Preview Receipt for Passport - District Court of Arizona
IN THE UNITED STATES DISTRICT COURT
_ ' FOR THE DISTRICT OF ARIZONA
United States of America, ) NO. CR 04-00623-001-PI-IX—SRB
Plaintiff, )
vs. ) NOTICE OF DELIVERANCE
) OF PASSPORT
Catherine Nelson, ) -
Defendant. )
TO: Office of Passport Policy and Advisory Services
2100 Pennsylvania Ave., NW, 3rd
Washington, DC 20037
y Pursuant to order of the court signed by MAGISTRATE IUDGE MORTON SITVER in the above
case, Passport Number 03 7964146 , issued at Los Angeles Passport Agency , on ll/20f0l to
the above named defendant, was surrendered to the custody ofthe Clerk ofCou11: at Phoenix, Arizona
on 6/ 15/04 , and the defendant is not to apply for the issuance of another passport during the
pendency of this action. Additional information regarding the bearer of this passport: ·
Date of Birth: Q6] Place of Birth: HONG KONG SAR
lj Pursuant to order of the court signed by_ in the above case the above named defendant has g
surrendered his/her passport to the custody of the Clerk of Court. The defendant is not to apply for
the issuance of another passport during the pendency of this action.
DATE: 6/I 5/2004 I
RICHARD H. WEARE, DCE/CLERK OF COURT
By: 9K
Phylis urbin, Deputy Clerk ·
RECEIPT
. . . asv tide?/V5 .
This will acknowledge receipt of Passport Number _ previously surrendered to the Court pursuant to prior
order of the court.
DATE: [F7"9@¤ Qrb vm @@2 @62 Peep
Owner of Passport I Subtxi
DOCUMENT USED FOR IDENTIFICATION PURPOSES: I
QSQE Qwwgggg Etjbif ~‘Q \?'T“
cc: Passport Office (certified copy)/Defendant/Prenial Services
Case 2:04-cr—OO623—SRB Document 111 Filed 11/O9/2006 Page 1 of 2 -

s .a ·~ 1; -<‘; .`~‘
EX -=*- US Alfblli Ea '-l El El Eu El EI '-l 1. 1. '-l 3 _4. »— r -;.;- ¤4».
Express wtg ¥ . 2; z U
1 From nmxmm xw, 4a Express Package Sonics mkaguupraasrurnp.
Sandsfs FedEx F- _' l I ' I 'Tumnstluznlmns
nm ·· ·-O Accuumnuumnar 1 G»x:‘?—·b4‘??'—- J Q §g,gE<_ilj_q_¤¤¤r_¤v¤r¤r hr mbEj;h§•gq;|_gQg“Qv¤mu¤M Q _ l L
‘ d¤Iur•ryh1|d¤ct|¤cn£¤|i‘\ _ ,
Saru»d¤r's ...
( Q ( ,E],;,|Zu‘ 2 -· w
Name Puxm ub l 323- 72 Q F§g·j5><2D¤vd_Y_ Q gggggggggs $¤v¤r
|— FedEx amouu¤•n·aIarl•,Mlniunumcha s:¤r¤s— undun —|
C an ¤..u 5 1:u x sm 1 c T at mum "’ E"l"°“F'°'¤"' °
I] E%.L'2.°l,f5°‘¤'"‘“ U §E5.ilEw.5'.$i¤*“ U l€£E2§P:l.§'-°'¤“ • ‘
Addrgsg 1 W I 1 ·[;.|1¤|-gwnmmm;
Do¤rJH¤¤rISrm'H¤¤m Q
c · !°’HUEl`·J I X smug AZ zup 85003*2 1 1 E3 géax Q maxu=auv· Q max Q max Q num •
Ermbpnx uma. mal. mal u=.x Box Tuba
max LarqsPak.am1 max smynauu
2 Yau: Intamnl Billing Hnhrsnrga ~=; _
nmmnammmapwnrm umm. 5 SQIBGIII Hllldlllli V unauuaa max warm in swam; 1. - _
3 T° _ _ K] muuanuagnuvuuu ggrlilggmau m E gugggmcnu m O ·
HBBIPVBFWS N E E LSQJ mawwxm r·u&z¤·r. nur Avuuuauxua mr Avauuauuu uuwr Inr ‘
Name · Ph¤n¤( ) gggmgm w·;u:df;°E*¤•v max mu uvamuqm .,
s s°···**··u:Eu;arx:*:u:u·u::*:;m¤2¤= ¤·····*=’ °' -
cm ° _ III N° lj :2§,,q,£,c,,,hW EI E Eqnugfuuums ?,_x_,,__,,_,_,|uq • .
gm" h Y"; , E Cargo Aircraft Dnly 7 A ‘.
Recipient, Dmquququulmmlngnqknlnnn shvnnsirn umilmn- I · ;
Address 1 Pgymgm ping; mhmhum u r
. ` · I ` ` . '——- ¤|31•It¢n‘|II¤.h•|vunr. —I ··
w`°°""'"°°d"°""P° °°”°"'P° Z` '°°" ' IS" Him; s_m__ Q umupusm Q mum Party Q cmuncam Q u:¤¤uvcuu¤¤u¤ • -
xmas ·—*··~·=·l·=u -
Tu u-nquasu pa: aqnhs held na npr Fnatxuuurhn, pri ndbraddraasturral Em _
' l\I
U l 2 ;Q£{n[£ sum M zuu¤ E 2 Q "'¤¤'*’¤¤*¤¤¤¤ T¤¤|W¤luuH T¤¤|¤•¤|¤¤dV¤|¤•' •
$ .D¤ -
TOurIahil\·;isImi1sd m$1DD urlamyun danlnra ur hlghurvalun, Sn banklordmlls. Fsfx uu Dahl O
u_ .. ,,_ _. .._. A . , Q. Q, _ _. u _ . ._ 8 Signmmudrurizc llslivarywrthuurla Signaturu
l? u- . . ¥§!@*i*fEd°*.¥ ` r;au~‘
Byushg dis Airbill yuuagrsatndue sarvéca cnndiinrusnnuhn bact¤l1hBAi11iI
and in uur currant Servins Gulde, induding tarma that|i·rui‘l uur Bvwina wp ¤¤¤¤¤rir¤ us ¤¤d¤iir¤r11¤u¤ shinunmwklumqhininim ¤ sinuuaiurv LI E E
uuegions? visit our wah sim d fwxlcum 9 _? 9 4 anui aqraaiu uruuisnunrfyand huluf ua hamrlana frum my msuhnq alarms •
ur ca|I1.8UJ.GOF¤dE·x 1.81]].463.339. snr·¤» um u u.·ns·m •uwrs··m¤m4-2r·a:u rear:-rnrnran uu us;

Case 2:04-cr-00623-SRB

Document 111

Filed 11/09/2006

Page 1 of 2

Case 2:04-cr-00623-SRB

Document 111

Filed 11/09/2006

Page 2 of 2