EFTA00181822¶
STATE OF FLORIDA¶
DEPARTMENT OF CORRECTIONS WRITTEN MONTHLY REPORT¶
Officer’s Name: ___ For Month Ending: ___ Date/Time submitted:___¶
Jeffrey Epstein¶
YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable):¶
358 El Brilloway Palm Beach, FL 33480¶
(Provide physical location – NOT Post Office Box)¶
TELEPHONE No¶
CELLULAR TELEPHONE N¶
PAGER No. ___¶
Vehicle Make/Model/Year/Tag #: ___¶
EMPLOYER: FSF¶
SUPERVISOR’S NAME:Darren Indyke¶
EMPLOYER’S ADDRESS:¶
250 S. Australian Ave Suite 104¶
West Palm Beach, FL 33401¶
EMPLOYER’S TELEPHONE N¶
CELLULAR TELEPHONE No.___¶
PAGER No. ___¶
EMPLOYER EMAIL: ___¶
YOUR TOTAL MONEY EARNED MONTHLY:¶
$ 10,000+ (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:¶
, Age 24, Girlfriend¶
Have you been arrested or had any contact with law enforcement during the last month? police If yes, explain what happened on separate sheet of paper, attached to report came to house for false fire alarm¶
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 Correction¶
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 Officer Receiving Report: | |
| Date WMR Received: | |
| Date WMR Due: | |
| Comments: | |
I certify the above to be true and complete:¶
Your Signature:¶
Mailing Address: 356 El Brilloway¶
City: Palm Beach¶
State: FL Zip: 33480¶
E-Mail Address: ___¶
(if applicable)¶
EFTA00181823¶
| e/Hora | Location/Localización | Activity/Actividad |
| MIDNIGHT/MEDIA NOCHE | ||
| 00 am | ||
| 0 | ||
| 0 | ||
| 0 | ||
| 0 | ||
| MORNING/MANANA | ||
| 00 am | ||
| 00 | ||
| 0:00 | ||
| 0:00 | ||
| 0:00 | ||
| 1:00 | ||
| AFTERNOON/TARDE | ||
| 12:00 pm | ||
| 1:00 | ||
| 2:00 | ||
| 3:00 | ||
| 4:00 | ||
| 5:00 | ||
| EVENING/NOCHE | ||
| 6:00 pm | Home | |
| 7:00 | ||
| 8:00 | ||
| 9:00 | ||
| 11:00 | ||
| WEDNESDAY/MIERCOLES | 7-22 |
| Day/Dfa | Decha |
| Time/Hora | Location/Localización | Activity/Actividad | |
| MIDNIGHT/MEDIA NOCHE | |||
| 12:00 am | |||
| 1:00 | |||
| 2:00 | |||
| 3:00 | |||
| 4:00 | |||
| 5:00 | |||
| MORNING/MANANA | |||
| 6:00 am | |||
| 7:00 | |||
| 8:00 | |||
| 9:00 | |||
| 10:00 | |||
| 11:00 | |||
| AFTERNOON/TARDE | |||
| 12:00 pm | |||
| 1:00 | |||
| 2:00 | |||
| 3:00 | |||
| 4:00 | |||
| 5:00 | |||
| EVENING/NOCHE | |||
| :00 pm | |||
| 7:00 | |||
| 8:00 | |||
| 9:00 | |||
| 10:00 | |||
| 11:00 | |||
| Time/Hora | Location/Localización | Activity/Actividad |
| MIDNIGHT/MEDIA NOCHE | ||
| 12:00 am | ||
| 1:00 | ||
| 2:00 | ||
| 3:00 | ||
| 4:00 | ||
| 5:00 | ||
| MORNING/MANANA | ||
| 6:00 am | ||
| 7:00 | Lee Hensur Probet | |
| 8:00 | Probati | |
| 9:00 | Home | |
| 10:00 | ||
| 11:00 | ||
| AFTERNOON/TARDE | ||
| 12:00 pm | ||
| 1:00 | ||
| 2:00 | ||
| 3:00 | ||
| 4:00 | ||
| 5:00 | ||
| EVENING/NOCHE | ||
| 6:00 pm | ||
| 7:00 | ||
| 8:00 | ||
| 9:00 | ||
| 10:00 | ||
| 11:00 | ||
7-23¶
| Time/Hora | Location/Localización | Activity/Actividad |
| MIDNIGHT/MEDIA NOCHE | ||
| 12:00 am | ||
| 1:00 | ||
| 2:00 | ||
| 3:00 | ||
| 4:00 | ||
| 5:00 | ||
| MORNING/MANANA | ||
| 6:00 am | ||
| 7:00 | ||
| 8:00 | ||
| 9:00 | ||
| 10:00 | ||
| 11:00 | ||
| AFTERNOON/TARDE | ||
| 12:00 pm | 12:30 Leave Home for Work | |
| 1:00 | ||
| 2:00 | ||
| 3:00 3:30 Home | 301pm | |
| 4:00 | ||
| 5:00 | ||
| EVENING/NOCHE | ||
| 6:00 pm | ||
| 7:00 | ||
| 8:00 | ||
| 9:00 | ||
| 10:00 | ||
| 11:00 | ||