Nee EFTA00005774

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DMV Photo Subject Information Name | ClientiD PY SI Case Number DMV Transaction Number: 1069006 DMV Transaction Date/Time: 2019-06-05 18:36:18:690 EFTA00005775

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{ i It Last updated: o1/ens2017 . t ) Request for NYS DMV P . OTO IMAGE To: New York Ops Center (NYOC) i [office: 212-384-2921; fax: 212-384-4073 or 4074] Requestor Email: i.SZOV.Z0V Sqiiad: C wi RARER EREDAR AER ARANETA RRA * H ARERR 1) Name & Rank of Requestor: | a F< es) MUST be Special Agent or other sworn encom — may not he sulinort personnel 2) Name & Rank of Supervisor: Zz 7. | FO S QO beviS AC MUST be Supervisory Special Agent or other sworn law ehjorcement— idy 7101 be support personnel 3) Subject Name: I 4) DMV Client ID # (Vine Digits): If no Client ID available, include Subject’s DOB Criminal Investigation atrant Investigation Witness Investigation Missing Person Investigation 6) Exigent Circumstances (if applicable)*: Comments 7) Case number: Ss (E-N) _ SDZ / Kz 8) Phone number of Requestor: The requestor acknowledges that the requested image cannot be used as filler in a photpjarray, the DMV photo may only be used in an array if the subject of the DMV photo is the subject in the photo array. A new request iipr a photo image must be made for any unrelated criminal investigation. The digital image obtained will not be saved in a database or|stored in any manner for secondary or subsequent use unrelated to the original investigation. 1 | I hereby certify that the above-requested DMV Photo Image is relevant fo an activ investigation and that, to the best of my knowledge, the subject of interest possesses a driver's licprtse, learner’s permit or non piciver identification card issued by the New York State DM¥4 and_acknowledge that if this request was yydu for an imperhiissible purpose I may be subject to ey 6/5 Date |} Supervigok (Si ignature) *When the exigent circumstances exception applies, the “Comments” section must identify the typ lof investigation and explain the urgency. In addition, the “Request for DMV Photo Image — Exigent Circumstancés” form must beicpmpleted and retained by the requesting agency. | , EFTA00005776

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EFTA00005777

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EFTA00005778

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EFTA00005779

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EFTA00005780

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EFTA00005781

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EFTA00005782