Free Receipt for Passport - District Court of Arizona - Arizona


File Size: 65.0 kB
Pages: 1
Date: July 10, 2008
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 311 Words, 1,995 Characters
Page Size: Letter (8 1/2" x 11")
URL

https://www.findforms.com/pdf_files/azd/31351/196.pdf

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Preview Receipt for Passport - District Court of Arizona
— I __ Reclatvsn __ copv
~ IN THE UNITED STATES DISTRICT COURT
_ ~ FOR THE DISTRICT OF ARIZONA a JUL 0 82008
. ; . c1.ER=< u s nsstmcr count
United States of America, _ ) NO. CR 03·00470—0Ol—P i .. -§I@°“CT OF AEQZOSIA
Plaintiff, ’ ) _ I I U
vs. A ) ‘ NOTICE OF DELIVERANCE
· ) OP PASSPORT
Alexander Wade · ) _ ·
Defendant. )
TO: Ofhce of Passport Policy and Advisory Services "·
1lll l9th Street, N.W., Suite 260 ' ‘
Washington, DC 20522
E Pursuant to order ofthe court signed by MAGISTRATE JUDGE LAWRENCE O. ANDERSON in
the above case, Passport Number $@5 5 "b ji LHP — , issued at Qmrgm Q TY ,
on EIINA to the above named defendant, was surrendered to the custody of the Clerk
of Court at Phoenix, Arizona on 5/15/03 , 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: _ cli(¤it\ Place of Birth: ‘ _ t
1;] Pursuant to order of the court signed by MAGISTRATE JUDGE LAWRENCE O. ANDERSON in
the above case the above named defendant has nc; 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: 5/15/03 ` _
’ I HARD · • e e E/CLERKOF COURT
. L _ /1
BY? _ in ix ié 0/ J/M / _ ·
· ' R ` sback, Deputy Clerk
. RECEIPT l
This will acknowledge receipt of Paswort Number I 3553 Q3 previously surrendered to the
Court pursuant to prior order of the court. _ i .
DATE: ‘ I " ‘ G
Owner of Passport L
DOC§E NT USED EEOR IDENTIFICATION PURPOSES: - a
cc: Passport Office (certified copy)/Defendant/Pretrial Services L
Case 2:03-cr-OO470—SRB Document 196 Filed O7/08/2008 Page 1 of 1

Case 2:03-cr-00470-SRB

Document 196

Filed 07/08/2008

Page 1 of 1