Free Receipt for Passport - District Court of Arizona - Arizona


File Size: 32.2 kB
Pages: 1
Date: September 24, 2005
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 307 Words, 1,794 Characters
Page Size: 610 x 792 pts
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https://www.findforms.com/pdf_files/azd/20010/55.pdf

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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 O2-00355-001-PHX-FIM
Plaintiff, )
vs. ) NOTICE OF DELIVERANCE
) OF PASSPORT
Gurvinder Singh Takhar )
Defendant. )
TO: Office of Passport Policy and Advisory Services
llll 19th Street, N.W., Suite 260
Washington, DC 20522
E Pursuant to order of the court signed by MAGISTRATE JUDGE VIRGINIA A. MATHIS in the
above case, Passport Number 055327163 , issued at San Francisco
, on 6/23/98 to the above named defendant, was
surrendered to the custody of the Clerk of Court at Phoenix, Arizona on May 3, 2002
, 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: 3/20/57 Place of Birth: Jallander Punjab, India
I:] 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: 5/3/02
RICHARD H. WEA , DCE/CLERK OF COURT
g7A r
By: ./f "'. argl
Iiyntie Scott? Deputy Clerk
RECEIPT
This will acknowledge receipt of Passport Number C`; 5 5' 3 9 {MQ 5 previously surrendered to the Court
pursuant to prior order of the court.
DATE: -1;; {Ki Egg, LQ K- LDB F L) g°`g[ j: bf U ¤“ U K mj'; [ cg`; mgllc, `1—`]`Q"g it lg 3 gp
Owner of Passport
DOCUMENT USED FOR IDENTIFICATION PURPOSES:
A E IDL [J Q mi 42 ai Z1
cc: Passport Office (certified copy)/Defendant/Pretrial Services
Case 2:02-cr-00355-FJI\/I Document 55 Filed O9/27/2005 Page 1 of 1

Case 2:02-cr-00355-FJM

Document 55

Filed 09/27/2005

Page 1 of 1