CASE NO: 08-CV-80119-MARRa¶
Notice of Supplemental Authority on Plaintiff Jane Doe's Motion for an Order to Show Cause and for an Order to Compel and Incorporated Memorandum of Law IDE 138J¶
EXHIBIT A¶
STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS
WRITTEN MONTHLY REPORT¶
Officer's Name: _____
For Month Ending: _____
Date/Time submitted: _____¶
YOUR NAME: Jaffrey Epstein
DC#: W35755¶
YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable):¶
358 El Brillo Way
Palm Beach, FL 334480
(Provide physical location - NOT Post Office Box)¶
TELEPHONE No. 501-655-7626
CELLULAR TELEPHONE No. 501-10014569¶
PAGER No. _____¶
Vehicle Make/Model/Year/Tag #: _____¶
EMPLOYER: FSF¶
SUPERVISOR'S NAME: Darren Indyke
EMPLOYER'S ADDRESS: 250 S. Australian Ave Suite 1404
West Palm Beach, FL 33401¶
EMPLOYER'S TELEPHONE No. 260 0084¶
CELLULAR TELEPHONE No. _____¶
PAGER No. _____¶
EMPLOYER EMAIL: _____
YOUR TOTAL MONEY EARNED MONTHLY:
$ 10 K + _____ (Gross Amount)¶
Full time 20 Part-time _____ Hours Worked _____
Additional (2nd) employment information: _____¶
List full names, ages, and your relationship to all persons who resided at your residence during this month:
SL-63 - SA-31 - V.C-55, N.P., M.P.C. - 25 7/1/in, R.P., 26/in
Staff¶
Have you consumed alcoholic beverages? YES NO
Have you used or bought illegal drugs or controlled substances? YES NO
Have you attended educational, vocational classes or mental health, drug, alcohol, therapy, or self-improvement programs? YES NO
(If yes, circle which one) YES NO
Have you been arrested or had any contact with law enforcement during the last month? YES NO
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 Officer Receiving this report: RECEIVED
Date WMR Received: JAN 05 2010
Date WMR Due: 15-4
Comments: E.O.S¶
I certify the above to be true and complete:
Your Signature: [Signature]
Mailing Address: Stan as abn
City: _____
State: _____ Zip: _____
E-Mail Address: _____
(if applicable)¶
11) YOUR NAME: Doh W, 1r( YOUR RESIDENCE ADDRESS: (include Name of Subdivision. Apartment Complex and Number. Mobile Home Park and "Number, if applicable): re t -L Or "7".4, EA oil¶
Officer's Name: _____
For Month Ending: _____
Date/Time submitted: _____¶
STATE OF FLORIDA For Month Ending: DEPARTMENT OF CORRECTIONS I Date/Time submitted: WRITTEN MONTHLY REPORT¶
(Provide physical location / —NOT Post Office Box) TELEPHONE No. - CELLULAR TELEPHONE No. ( - 40 ( 'LW PAGER No.¶
Vehicle Make/Model/Year/Tag #: _____¶
EMPLOYER: SUPERVISOR'S NAME: -2 4-1('' EMPLOYER'S ADDRESS: AnrA.ti% Ps pl"., ILA. )3 V( EMPLOYER'S TELEPHONE No. -S ib—00 (9 CELLULAR TELEPHONE No. PAGER No. EMPLOYER EMAIL: YOUR TOTAL MONEY EARNED MONTHLY: $ * do IC (Gross Amount)¶
Full time Part-time Hours Worked Additional (2id) employment information:¶
List full names, ages, and your relationship to all persons who raided at your residence during this month: —Yak L 0)1'464 — sµ.3 - Z6 &aim* /Yachter," thr -51 L Y P - -9* • kJ • 2.?' 0 _0 4¶
Save 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: YES ❑ e3¶
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: S¶
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:¶
| <b>Official Use Only:</b> | |
|---|---|
| Signature of Officer Receiving Report: | |
| <p>Date WMR Received: _____ 2:15</p> <p>Date WMR Due: _____ 2:12</p> <p>Comments: 2:30 PM 2:20</p> |
I certify the above to Your Signature: Mailinritddress: 1' 71 < City: Vat" (int& Gam, State: C <— Zip: 3n t E-Mail Address: 000P f›-vd /CA— ( if applicable)¶
| Officer's Name: <u>Johns</u> |
|---|
| For Month Ending: _____ |
| Date/Time submitted: _____ |
STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS
WRITTEN MONTHLY REPORT¶
YOUR NAME: Jeffrey Epstein
DC#: W35755
YOUR RESIDENCE ADDRESS: (include Name of Subdivision, Apartment Complex and Number, Mobile Home Park and Lot Number, if applicable):
358 El Brillo Way
Palm Beach, FL 33480¶
EMPLOYER: FSF
SUPERVISOR'S NAME: Subjic
EMPLOYER'S ADDRESS:
250 S. Australian Ave. Suite 1404
West Palm Beach, FL 33401
EMPLOYER'S TELEPHONE No. 3600084¶
(Provide physical location - NOT Post Office Box)
TELEPHONE No. 655-7020
CELLULAR TELEPHONE No. 601-4569
PAGER No. _____¶
CELLULAR TELEPHONE No. _____
PAGER No. _____
EMPLOYER EMAIL: _____
YOUR TOTAL MONEY EARNED MONTHLY:
$ +10/00 (Gross Amount)¶
Full time X Part-time _____ Hours Worked _____
Additional (2nd) employment information: _____¶
List full names, ages, and your relationship to all persons who resided at your residence during this month:
Nabio Marcini, SA - 31 Frank, FL - Frind 22, S.L.B. - 65, D.L. Leugh 50¶
Have you consumed alcoholic beverages? YES NO
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! 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: [Signature]
Date WMR Received: _____
Date WMR Due: _____
Comments: 1035AM 3/11/10¶
I certify the above to be true and complete:
Your Signature: [Signature]
Mailing Address: 358 El Brillo
City: PP
State: FL Zip: 33480
E-Mail Address: _____
(if applicable)¶