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):¶
| 35 | 3711 | ||
| PB | T | 33740 |
(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:¶
| YES | NO | |
| 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:¶
| YES | NO | |
| 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: ___¶