United States Postal Service Application for Delivery of Mail Through Agent 5ee Privacy Act Statement on Reverse n consideration of delivery of my or our (firm) mail to the agent named below, the addressee and a nust not file a change of address order with the Postal Service™ \ddress is the responsibility of the addressee and the agent; (3) ‘ew postage when redeposited in the mails; (4) upon request ti vansfers mail; and (5) when any information required on this gent agree: (1) the addressee or the agent upon termination of the agency relationship; (2) the transfer of mail to another all mail delivered to the agency under this authorization must be Prepaid with he agent must provide to the Postal Servi all addresses to which the agency form changes or becomes obsolete, the addressee(s) must file a revised pplication with the Commercial Mail Receiving Agency (CMRA). 1OTE: The applicant must execute this form in du: plicate in the presence of the agent, his or her auth his application may be subject to verification procedures to confirm that the applicant resides or conducts business at the ome or business address listed in boxes 7 or 10, and that the identification listed in box 8 is valid, Name in Which Applicant's Mail Will Be Received for Delivery to Agent. |3a.Address to be Used for Delivery (Include PMB or # sign.) vomplete a separate PS Form 1583 for EACH applicant. Spouses may »mplete and sign one PS Form 1583. Two items of valid identification fF »ply to each spouse. Include dissimilar information for either spouse in . »propriate box.) 3b, City 3d. Zip +4 iislaine maxwell Boston 02114 5. This authorization is extended to include restricted delivery mail for the lundersigned(s): Applicant authorizes delivery to and in care of: Name eS te UPS Store #5768 Address (No., street, apt/ste. no.) | City d.State Je. Zip +4 rston A 02114 Name of Applicant ‘a. Applicant Home Address (No., street, apt/ste. islaine maxwell ‘wo types of identification are required. One must contain a photograph 7b. City 7c. State d. Zip +4 the addressee(s). Social Security cards, credit cards, and birth boston MA 102114 tificates are unacceptable as identification. The agent must write in @ Applicant Lelaphone Nntifying information. Subject to verification. Number (Include area code) 1 es: ig Name of Firm or Corporation NVA mi: 10a. Business Address (No., street, aptiste. no.) N/A a ~ 10c. State 10d. Zip +4 ‘eptable identification includes: valid driver's license or state non-driver's N/A N/A ification card; armed forces, government, university, or recognized >orate identification card; passport, alien registration card or certificate 10e. Business Telephone Number (Include area code) aturalization; current lease, mortgage or Deed of Trust: voter or vehicle |N/A stration card; or a home or vehicle insurance policy. A photocopy of 11. Type of Business r identification may be retained by agent for verification. NVA if applicant is a firm, name each member whose mail is to be delivered. (All names listed must have verifiable identification. A guardian must list the tes of minors receiving mail at their delivery address.) lf a CORPORATION, Give Names and Addresses of lis Officers 14. If business name (corporation or trade name) has been registered, give Name of county and state, and date of registration. ning: The furnishing of false or misleading information on this form or omission of material information may result in criminal sanctions (including fines imprisonment) and/or civil sangtions (including multiple damages and civil enalties) loneture ah Adent/Notary Purif 16. Signature of Applicant (If firm or corporation, application must be signed by j officer. Show aves WYK AAS oS (7530-01-000-9365) ‘orm 1583 December 2004 (Page 1 of 2) EFTA00097136

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Mailbox Service Agreement Customer information Center Number: 5768 eS ——— Company: Address: City: boston State: MA ZIP: 02114 Business Telephone: Home Telephone: Fax: Mobile Telephone: E-mail Address: Text Messaging ID: Mailbox Information Mailbox Number: Mailbox Size: Small Terms and Conditions 1. This Mailbox Service Agreement (‘Agreement’) is made and entered into by the customer identified above ("Customer") for the use of and Services related to a mailbox (“Mailbox”) at The UPS Store® or Mail Boxes Etc.® Center identified above ("Center") under the terms set forth herein, 2. Customer agrees that Customer will not use the Center premises or any Center services for any unlawful, illegitimate, or fraudulent purpose, or for any purpose prohibited by U.S. Postal regulations. Customer further agrees that any use of the Mailbox shall be in conformity with all applicable federal, state, and local laws. Each individual or entity must complete a separate United States Postal Service Form 1583 (Form * 1583") to be authorized to receive mail or packages at the Mailbox. 3. This Agreement and Form 1583 shail remain confidential, except that this Agreement and Form 1583, including Customer's name, address, and e-mail address, may be disclosed to the Center's franchisor, The UPS Store, Inc. or its successor, solely for purposes of communication between The UPS Store, Inc. and Customer related to Customer's use of the Mailbox, and upon written request of any law enforcement or other and arty required acknowledgment form relating to service of process. Customer further agrees to sign a revised version of thie A reement and Form 1583 whenever any information required on this Agreement or Form 1583 changes. 9 4, Ie taeasion of the Mailbox key shall be considered valid evidence that the possessor is duly authorized to remove any contents from the Mailbox. In the event of death or incapacity of Customer, the Center will require the appropriate documents from the Probate Court, the execulsr atin estate, the trustee or other simitar person or entity before releasing mail or packages to a requesting party. i Customer agrees that upon expiration, Cancellation, or termination of this Agreement, Customer will not file a change of address order with the post office, Customer and the Center further agree that upon expiration, cancellation, or termination of this Agreement, Customer authorizes the Center to accept and destroy any “Unsolicited Mail" (e.9., mail addressed to “occupant,” “current resident,” or similar designation; OF coupons, advertising, or other promotional material) and any mail addressed to Customer that is delivered to the Center by the United States Postal Service for six months; and may refuse any package addressed to Customer delivered by any party other than the United States Postal Service, such a5 a commercial carrier service. However, at Customer's election, the Center will: a. Re-mail (i.e., forward) Customer's mail (except for Unsolicited Mail) for six 6 months upon Customer's payment in advance for postage, b. Store the mail or United States Postal Service packages (except for Unsolicited Mail) for up to six (By) months upon Customer's advance of a storage fee of _$30.00- per month for the time period in which the Center holds the mail or packages, plus a service fee of $5.00 for each time Customer vi the Center to pick up such items. It is Customer's responsibility to make arrangements with the Center ~ Six GP months after the expiration, cancellation, or termination of this Agreement, the Center may: a. any mail or package addressed to Customer and delivered to the Center, b, Destroy any of Customer's mail or packages remaining at the Center at such time, 8. Customer authorizes the Center to complete and file a Shipper’s Export Declaration as “agent” on behalf.of Customer as “principal party in interest” when necessary and to act on behalf of Customer as Customer's true and lawful agent for purposes of any and all re-mailing, including € UPS Store® and Mail Boxes Etc.® Centers are independently owned and operated by licensed Franchisees of The UPS Store, Inc. Page 1 Indirect subsidiary of United Parcel Service, Inc., a Delaware corporation. Services, prices, and hours of operation are subject to ange and may vary by location. Copyright © 2012 The UPS Store, Inc. All rights reserved. « Last updated 10/25/12 EFTA00097137

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DRIVING LICENCE ur 1. MAXWELL . 2. “MS GHISLAINE NOELLE M EFTA00097138

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Center 5768 Electronic Journal Viewer ‘The UPS Store Receipt View The UPS Store - #5768 hy mz I |e = 11/20/17 10:22 AM We are the one stop for all your shipping, postal and business needs. Hours of Operation: I F 9:AM - 7:PM Sat 10:AM - 5:PM Sun 12:PM - 4:PM 001 001045 (001) TO $ 10.71 Ground Residential Tracking# 1Z222E2480310982920 002 001045 (001) TO $ 10.64 Ground Residential Tracking# 1222£2480310985392 003 500248 (002) Tl $ 8.98 #5 Bubble Mailer QTY 2 Reg Unit Price $ 4.49 004 063001 (004) TO $ 5.00 Key Fee NR 005 062101 (004) TO $ 198.00 FS Personal Small NR QTY 6 Reg Unit Price $ 33.00 Start Date 11/20/17 End Date 05/20/18 006 064001 (004) TO $ 0.00 24 Hour Access NR oTY §f Reg Unit Price $ 0.00 Start Date 11/20/17 End Date 05/20/18 007 064002 (004) TO $ 0.00 Call In Service NR Ty § Reg Unit Price $ 0.00 Start Date 11/20/17 End Date 05/20/18 008 064004 (004) TO $ 0.00 Pkg Notify - Emai NR oTy §j Reg Unit Price $ 0.00 Start Date 11/20/17 End Date 05/20/18 009 063003 (004) TO S$ 25.00 Set Up Fee NR Version 8.1.13.0 Page 1of 2 Printed 11/20/2017 10:32 EFTA00097139

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Receipt View SubTotal $ 258.33 MA (Tl) $ 0.57 Total $ 258.90 AMERICAN EXPRESS $ 258.90 ACCOUNT NUMBER * BERKEL EEERETOOS Appr Code: 831971 (I) Sale ENTRY METHOD: ChipRead MODE: Issuer AID: A000000025010801 TVR: 0000008000 TSI: F800 AC: 7EAB3FA7T5FD8EE01 ARC: 00 Mailbox Services Transaction: Mailbox + J Customer g maxwell Thank You g maxwell items Designated NR are NOT eligible for Returns, Refunds or Exchanges. Receipt ID 82741649203486882758 030 Items CSH: nathan Tran: 1708 Reg: 002 TRACK YOUR SHIPMENT AT: THEUPSSTORELOCAL.COM/5768 Whatever your business and personal needs, we are here to serve you. Time Sensitive Marketing Message Removed Version 8.1.13.0 Page 2of 2 Printed 11/20/2017 10:32 EFTA00097140