Free Receipt for Passport - District Court of Arizona - Arizona

IN THE UNITED STATES DISTRICT COURT - I
FOR THE DISTRICT OF ARIZONA A
United States of America, L NO. CR 04-00539-004-PI·IX—}AT
I Plaintiff, ) I
vs. ) NOTICE OF DELIVERANCE
) OF PASSPORT
Allan Quttentag )
Defendant. ) _
TO; Office of Passport Policy and Advisory Services
2100 Pennsylvania Ave., NW, 3rd ·
Washington, DC 20037 I
Ig Pursuant to order of the court signed C. VOSS in the above ~ --
“"` case, Passport Number 303736197 , issued at Charleston Passport Agency- , on 12/1/03 to the
above named defendant, was surrendered to the custody of-the Clerkof Court at Phoenix, Arizona
on 6/9/04 , and the defendant is not to apply for the issuance of another passport during the
pcndency of this action. Additional infomation regarding the bearer of this passport:
Date of Birth· Place of Birth: New York USA I I -
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. I -
DATE: 6/9/2004
RICHARD H. WEARE, DCE/CLERK OF COURT
By: :5
_ Phylis D in, Deputy Clerk
RECEIPT ‘ “ “ “ _ t I
I This will acknowledge receipt of Passport Number_ previously I en edto e C rsuant to prior
order of the court. - I J/_. »’
y DATE; {G7 tz : - ’ v
Owner of Passport
DOCUMENT USED FOR IDENTIFICATION PURPOSES: I ‘
l>y,_aic>z>Ci§
cc: Passport OfHce (certified copy)/Defendant!Pretrial Services . I
Case 2:04-cr-00539-I\/IHIVI Document 160 Filed O4/24/2007 Page 1 of 1I

Case 2:04-cr-00539-MHM

Document 160

Filed 04/24/2007

Page 1 of 1