Free Receipt for Passport - District Court of Arizona - Arizona


File Size: 41.5 kB
Pages: 1
Date: January 24, 2007
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 358 Words, 2,175 Characters
Page Size: 622.08 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/32940/65.pdf

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Preview Receipt for Passport - District Court of Arizona
mso __ Looeso
y IN THE UNITED STATES nisrincr COURT -—— RECENED —— OOP"
FOR THE DISTRICT OF ARIZONA FEB ]_ ]_ Zum
United Staten ofAmerica, ) No. on 03-1280-2-PHX-P 1€L%§*gTg|§P§§,§I§§§“I
Plaintiff, ) EY DEPUTY
vs. ) NOTICE OF DELIV `* H
) OF PA T
Gary Evert Hirth ) . FILED LODGED
Defendant. ) Mtn F·=‘ECErvEg ______ COW
TO: Office of Passport Policy and Advisory Services I JA N 2 4 2007
llll 19th Street, N.W., Suite 260 CLEH:< ti S; narsie teen
Washington, DC 20522 _ BV Q*ST*i·’$`f ct Anizgpizé, Rl
qi p ' 7 J _ `.·_;..;—; P UEEUTY WI I-
. E Pursuant 'toforder of the court signed by U.S. Ma istrate Jud e Morton Sitver on
in the above case, Passport Number 0'%f£¢i 2'l 5`$`2. , issued at L¤$&g[c=>. ( H , on §Z‘YZ
to the above named defendant, was surrendered to the custody of the Clerk of Court at Phoenix,
Arizona on 7. i[O I cgi , 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: lift? Place ofBirth: [ g3 Q
I] Pursuant to order of the court signed by U.S. Magistrate Judge Morton Silver on 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: 2/10/2004
RICH 7 I . WEARE, DCE/CLERK OF COURT
. A p il,
` . BY Jn rlhh-J.1 __ _ M _ _ __ p
Pat Holgui Rivera, Deputy Cler S P PN"
I RECEIPT
This will acknowledge receipt of Passport Number .©'Y>Q•:] 3;) $$2 previously surrendered
to the Court pursuant to prior order ofthe court. I I . I _
DATE:
O er of Passp A p
DOCUMENT USED FOR IDENTIFICATION PURPOSES: _
fj) QM 9-Ll 5 ‘-Bd, .
cc: Passport Office (certified copy)/Dft through Cnsl/Pretrial Services
Case 2:O3—cr—O1280—RGS Document 65 Filed O1/24/2007 Page 1 of 1 i

Case 2:03-cr-01280-RGS

Document 65

Filed 01/24/2007

Page 1 of 1