EFTA00181815 # STATE OF FLORIDA DEPARTMENT OF CORRECTIONS WRITTEN MONTHLY REPORT Officer's Name: ___ For Month Ending: ___ Date/Time submitted: ___ YOUR NAME: Jack Epstein DC#: ___ YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable): 358 EL BRILLO WAY LAKEN BEACH, FL 33480 EMPLOYER: Florida Science Foundation SUPERVISOR'S NAME: DARREN INDYKE EMPLOYER'S ADDRESS: 250 AUSTRALIAN AVENUE N. #1404 WPB, FZ 33401 (Provide physical location - NOT Post Office Box) PAGER No. ___ TELEPHONE No. 561- EMPLOYER'S TELEPHONE No. 901- CELLULAR TELEPHONE No. CELLULAR TELEPHONE No. ___ Vehicle Make/Model/Year/Tag #: CAD/E3CACADE/2005/Q29-9GT PAGER No. ___ EMPLOYER EMAIL: ___ YOUR TOTAL MONEY EARNED MONTHLY: $___ (Gross Amount) Full time ___ Part-time ___ Hours Worked ___ Additional (2^{nd}}) employment information: ___ List full names, ages, and your relationship to all persons who resided at your residence during this month: NO ONE - JUST RELEASED FROM PBSO CITY JAIL Have you consumed alcoholic beverages? Have you used or bought illegal drugs or controlled substances? Have you attended educational, vocational classes or mental health, drug, alcohol, therapy, or self-improvement programs? Have you been arrested or had any contact with law enforcement during the last month? (If yes, circle which one) If yes, explain what happened on separate sheet of paper, attached to report. If you went into debt for any reason, explain: ___ If not working, give reason and source of income: ___ If you have any questions or problems to discuss with your Officer, explain:___ If monetary obligation owed, amount paid this month: $___ Receipts are available through your probation officer. DO NOT SUBMIT CASH OR PERSONAL CHECKS! Make money order payable to the Department of Corrections. If monetary obligation owed and no payment made, give reason and date when payment will be made: _ Signature of Officer Receiving Report: Official Use Only:
Date WMR Received:JUL 22 2009
Date WMR Due:
Comments:15-4
I certify the above to be true and complete: Your Signature: ___ Mailing Address: 358 EL BAKLO WAY City: Palm Beach State: FL Zip: 33480 E-Mail Address: ___ (if applicable) 215 EFTA00181816 # APPT. WITH OFFICER DUANE WILLIAMS @ 3:30 STATE OF FLORIDA Officer's Name: ___ DEPARTMENT OF CORRECTIONS For Month Ending: ___ WRITTEN MONTHLY REPORT Date/Time submitted:___ YOUR NAME: JEFFREY EPSTEIN YOUR RESIDENCE ADDRESS: (include Name of Mobile Home Park and Lot Number, if applicable): Subdivision, Apartment Complex and Number, PBJC STOCKS E (Provide physical location - NOT Post Office Box) TELEPHONE No. ___ CELLULAR TELEPHONE No.__ Vehicle Make/Model/Year/Tag #: ___ PAGER No. ___ EMPLOYER: ___ SUPERVISOR'S NAME: ___ EMPLOYER'S ADDRESS: EMPLOYER'S TELEPHONE No. ___ CELLULAR TELEPHONE No.__ PAGER No. ___ EMPLOYER EMAIL: ___ YOUR TOTAL MONEY EARNED MONTHLY: $$\text{___} \quad (\text{Gross Amount})$$ Full time___ Part-time ___ Hours Worked ___ Additional (2^{nd}}) employment information: ___ ## List full names, ages, and your relationship to all persons who resided at your residence during this month: Aave you consumed alcoholic beverages? Have you used or bought illegal drugs or controlled substances? Have you attended educational, vocational classes or mental health, drug, alcohol, therapy, or self-improvement programs? (If yes, circle which one) Have you been arrested or had any contact with law enforcement during the last month? If yes, explain what happened on separate sheet of paper, attached to report. If you went into debt for any reason, explain: ___ If not working, give reason and source of income: ___ If you have any questions or problems to discuss with your Officer, explain:___ --- If monetary obligation owed, amount paid this month: $___ Receipts are available through your probation officer. DO NOT SUBMIT CASH OR PERSONAL CHECKS! If monetary obligation owed and no payment made, give reason and date when payment will be made: ___ Date WMR Received: Official Received Signature of Officer Receiving Report: JUN 01 2009
Date WMR Due:15-4
Comments:
I certify the above to be true and complete: Your Signature: Mailing Address: ___ City: ___ State:___ Zip:___ E-Mail Address: ___ (if applicable) EFTA00181817 # STATE OF FLORIDA DEPARTMENT OF CORRECTIONS WRITTEN MONTHLY REPORT
Officer's Name:___
For Month Ending:___
Date/Time submitted:___
YOUR NAME: Jul Epshri DC#: YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable):
353711
PBT33740
(Provide physical location – NOT Post Office Box) TELEPHONE No: CELLULAR TEL ___ PAGER No. ___ Vehicle Make/Model/Year/Tag #: ___ EMPLOYER: FS SUPERVISOR'S NAME: EMPLOYER'S ADDRESS: EMPLOYER'S TELEPHONE No. CELLULAR TELEPHONE No.__ PAGER No. ___ YOUR TOTAL MONEY EARNED MONTHLY: $$ + 10,000 \text{ (Gross Amount)} $$ Full time___ Part-time___ Hours Worked ___ Additional (2^{nd}}) employment information: ___ ## List full names, ages, and your relationship to all persons who resided at your residence during this month:
YESNO
Have you consumed alcoholic beverages?$\Box$$\Box$
Have you used or bought illegal drugs or controlled substances?$\Box$$\Box$
Have you attended educational, vocational classes or mental health, drug, alcohol, therapy, or self-improvement programs?$\Box$$\Box$
(If yes, circle which one)$\Box$$\Box$
Have you been arrested or had any contact with law enforcement during the last month?$\Box$$\Box$
If yes, explain what happened on separate sheet of paper, attached to report.
If you went into debt for any reason, explain:
If not working, give reason and source of income:
If you have any questions or problems to discuss with your Officer, explain:
If monetary obligation owed, amount paid this month: $___ Receipts are available through your probation officer. DO NOT SUBMIT CASH OR PERSONAL CHECKS! Make money order payable to the Department of Corrections. If monetary obligation owed and no payment made, give reason and date when payment will be made: ___ Official Use Only: Signature of Office Receiving Impact: AUG 04 2009 Date WMR Received: ___ Date WMR Due: ___ Comments: 15-4 CS I certify the above to be true and complete: Your Signature: ___ Mailing Address: ___ City: Pull Belt State: 🏆 Zip: 33480. E-Mail Address: [email_address] (if applicable) EFTA00181818 STATE OF FLORIDA DEPARTMENT OF CORRECTIONS WRITTEN MONTHLY REPORT Officer’s Name: ___ For Month Ending: ___ Date/Time submitted:___ YOUR NAME: Telly Sporten DC#: YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable): $$358<1110$$ Poh Bun 33480 (Provide physical location - NOT Post Office Box) TELEPHONE No. CELLULAR TELEPHONE No. PAGER No. ___ Vehicle Make/Model/Year/Tag #: ___ EMPLOYER: FSF SUPERVISOR'S NAME: EMPLOYER'S ADDRESS:
250 Australia
Nest Palm
EMPLOYER'S TELEPHONE No. CELLULAR TELEPHONE No.. PAGER No. EMPLOYER EMAIL: YOUR TOTAL MONEY EARNED MONTHLY: $$19200 \text{ r}$$ (Gross Amount) Full time Part-time Hours Worked Additional $ 2^{n d} $ employment information: ___ ## List full names, ages, and your relationship to all persons who resided at your residence during this month:
YESNO
Have you consumed alcoholic beverages?$\Box$$\boxed{\times}$
Have you used or bought illegal drugs or controlled substances?$\Box$$\boxed{\times}$
Have you attended educational, vocational classes or mental health, drug, alcohol, therapy, or self-improvement programs?$\Box$$\Box$
(If yes, circle which one)
Have you been arrested or had any contact with law enforcement during the last month?
If yes, explain what happened on separate sheet of paper, attached to report.
If you went into debt for any reason, explain:
If not working, give reason and source of income:
If you have any questions or problems to discuss with your Officer, explain:
If monetary obligation owed, amount paid this month: $___ Receipts are available through your probation officer. DO NOT SUBMIT CASH OR PERSONAL CHECKS! Make money order payable to the Department of Corrections. Signature of Officer Receiving Report. Date WMR Received: SLP 01 2009 Comments: 15-4 I certify the above to be true and complete: Your Signature: ___ Mailing Address: 358 41 B.11. City: PBah F State: 12C Zip: 33480 E-Mail Address: ___