2012-1-26 Farrar v Obama Exhibits 1-7

8/3/2019 2012-1-26 Farrar v Obama Exhibits 1-7

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United States Department of Stateishingion, D.C. 20520

J U L 2 9 2 0 1 0

In reply refer to:CA/PPT/L/LE Case Control Number: 200807238

Christopher E. Strunk593 Vanderbilt Avenue, #281Brooklyn, NY 11238Dear M r. Strunk:

The following is in response to your request to the Department ofState, dated November 22, 2008, requesting the release of material under theprovisions of the Freedom of Information Act (5 U.S.C. 552).We have completed a search for records responsive to your request.

The search resulted in the retrieval of six documents that are responsive toyour request. After careful review of these documents, we have determinedthat all six documents may be released in full.


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This completes the processing of your request.

Jonathan M. olbin, DirectorO ffice of L egal A ffairs and Law E nforcement LiaisonB ureau of Consular AffairsP assport Services

Enclosures:A s stated


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p 1FORM APPROVEDBUDGET BUREAU NO. 47-RI17.5

DEPARTMENT OF STATEFOREIGN SERVICE OF THE UNITED STATES OF AMERICAi(PPLICATION FORli , IRENEWAL.-- ' AMENDMENT___I EXTENSION

OFPASSPORTCARD OF IDENTITY1 REGISTRATION-i-1CERTIFICATE OF IDENTITY-7 -77-7-7. c " - '/ ci / ci .Document No.= -'ate Issued \lit' ,ItPOST, REFERRED TO DEPARTMENT FOR ACTION.,r77. +ENEWED (.E-Xl Nt:tF.;r2) TO :...L2L.,....._ ...1 AMENDED AS REQUESTEDSEE COLLECTED,MO FEE COLLECTED(PLEASE PRINT NAME IN FULL) 1_,....-(FIRST 11AIVIE)(MDDLE49,4MEl a 2150 NAVE)11.-- , -- ,1 n le y7/7, - 7 1-,. : : 4 : : e 7i.7 /7 6;ft./. 4 , o citizen of the United States, do herebyapply for the serve indica ed above. Of amendment, set forth details on REVERSE.)DATE F BIRTH (Month, day, year) PLACE OF .BIRT

NOW RESIDING AT/-- f /a -- - c . - -1 7 ,7 2 : ,k1/2.17(--,SrqUNITED STATESENCE (Street address.," city, county, state)---IN THE EVENT OF DEATH OR ACCIDENT NOTIFY (Nome in full, relationship, street address, c ty, state)/ a n /7 A p/7206//-?2/7 4/77 1 . Pa n i ()74 -- e "1 1 4 /4 / .I2 . /44olHYOU EVEEEN REFUSED A PASSPORT OR REGISTRAAION AS A CITIZEN OF THE UNITED ST/ATES,IF THE ANSWER IS YES, EXPLAIN WHEN AND WHY

NO

PROPOSED TRAVEL PLANS IF RETURNING TO U. S. COMPLETE THE FOLLOWINGI INTEND TO RETURN TO THV, UNITED STATES PERMANENTLY TORESIDE WITHIN Npfinit e- O N T H S PORT OF DEPARTURE

INTEND TO CONTINUE TO RESIDE ABROAD FOR THE FOLLOWINGPERIOD AND PURPOSEvpeF-//v47_ "404Zetp__D NAME OF SHIP OR AIRLINE


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1AMENDTO INCLUDE (EXCLUDE) (WIFE)(HUSBAND)

NAME BIRTHPLACE BIRTHOATE

SPOUSE WAS PREVIOUSLYMARRIEDTO PREVIOUS MARRIAGE TERMINATEDBY

nDIVORCE j DEATHNUMBER OF MYSPOUSE'S PREVIOUSPASSPORT / a p ei

DISPOSITION OF MYSPOUSE'S PREVIOUS PASSPORT

r - t ATTACHEDI CANCELED MATE)AMEND TO INCLUDE (EXCLUDE) CHILDREN

NAMES RESIDENCE BIRTHPLACE SIR THDA TENA * . 1 4 6 .

C 7 i '. 1

AMEND TO READIN MARRIEDNAMENAME

DATE MARRIED PLACE MARRIED MARRIEDTO

CITIZENSHIP OF HUSBANDp U. S. CITIZENALIEN-CITIZEN OFOTHER AMENDMENTISI (DESCRIBE IN DETAIL ACTION REQUESTED)

DOCUMENTARYEVIDENCE SUBMITTED TO DEPARTMENT B Y CONSULAROFFICER

DOCUMENTARYEVIDENCE SEEN ANDRETURNED TO APPLICANT BY CONSULAR OFFICER

STATEMENT OF ACTION BY POST UPON DEPARTMENT'S AUTHORIZATION (To be executed only in Connection with eases referred to Dept.)


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PASSPORT ND., DATE AND PLACE OF ISSUANCE777788U6.19s65 Ha4ail

Bir-7THDATT-ATuRALIZAT:ON DATENov. 2?, 1'W42. A.BiR"- HPLACE < -, _ a n s a s DTMNYO3YTEREQUEST BY UH7 -717 5TA. -75 PAT1CL FOR AND REPORT OFEXCEPTION TO SEC O: 53.3, TITLE 22 OFCO C E. OF FEDERAL REGULATIONSREQUEST.ntH T : 1 ;raHd md c E -1- a vaNd p.s,s1)7 im require.3ivLAI; - - - c "he An_ C ) ale, as Dirov -...:lecif . . . ..ctinh=f2 7 *.r" ectiond I wIl rern:cec:,-f -3v3.C - 4" fr.F.:griatur-.1)REPORT -ection 215 of thend Nationality Act of 19527 C .7 , Pas;Torr_ 12fficftz of State'4.-33binver., D. C 0s24A SUB JECTTAHLEY AN-J _1?-7 l b.D r o ! . 7 .rcw - 7 ,D15 1 , P . 11 :nman : , .atreman 22 Fay., Djaka7t. ," : n a o r i e s i l=1 6 : 1 ' 7 ' 2 . o u t hDEPARTURE FROM UNITED STA TES!DESTINATION

Hawaiijakarta, IndonesiaAm 1 - ': AND PLACE QF DEAvmTjRE FROMABROAD DENTITY D OCUM ENTS P RESENTED

i - - - -October 1967, Horolulu,--1_,GH - NUNABE? OR VESSEL NAM E OF CARRIERA i r i n e s

TRAVEL TO UNITED STATES

.N: PLACE CE DEPARTURE


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FORMA 1VE0tlDGET BUREAU NO. 47-R059-8DEPARTMENT OF STATEAPPLICATION FOR AMENDMENT OF PASSPORT

,Passport Office Use Only)Amend as shown in section:FJE3CDirEF[JAdd visa pages.

.23INSTRUCTIONS: All requests for inclusion of persons must be sworn to (or affirmed) be-lore an Agent of the Department of State or Clerk of Court.hotographs, which meet therequirements below, and evidence of citizenship must be submitted for all persons to beincluded by this amendment.f such persons hove had, or been included in, a previouspassport, it should be submitted instec-I of other documents, and Section 0 c o m pleted,

-PASSPORT NO. OF APPLICANTDATE ISSUED .,..-----...-7T-.../' . , . . - LL,' BIRTH CERTIFICATEISI SEENCILOREN S...0RRTY {WFE'S!MUSISAND5IF_EDRRTYAILSSPORT TO7---'' i" ( " ! :XFT-..TREET(-7-1....,,t,-e...-14-(-..-t.--- . . . 4 . -. . . " MARRIAGE CER't.t a&It.4 NA rZN. CERT.ES A N OTHER ..- ...,/..,CITY1C--1'.TATE.- et.. /..."... -'

/ U .9,'N CARE OF

'PLEAS E PRINT NAME IN FULL)(First name)Middle name)Lost name)t.-----. . . . .) - ./ / f:17. . . _ C . : : , t .r 0 , a citizen.i.... /_ //of the United States, do hby request that my passport, which is enclosed, be amended asindicated below.INCLUDE MY CHILD(REN), AS FOLLOWS: (Also complete Section H if child(ren) acquiredcitizenship by naturalization, and have not had a previous passport.) xAPhoto requirements for inclusion)sSTAPLE ONE PHOTO HERE

DO NOT MAR FACE

Photos must be ONLY of persons to be in-C riluded by this amendment. The two photosW must be duplicates, approximately 2) 12 byI,5 inches in size; be on thin, unglazed)Waper with a plain,ight background and;iiave been taken within 2ears of dateeubmitted.hotos should be front view,.ut not full-length, and may not be snap-f,-hot, Polaroid, acetate or film base prints.When more than 1 person is to be included,

a group photo is required.olor photosare acceptable.DO NOT STAPLE SECOND PHOTO

ATTACH BY PAPER CLIPwictNAME IN FULL PLACE OF BIRTH (City, State) DATE OF BIRTHINCLUDE MY (WFE) (HUSBAND), AS FOLLOWS: (Also complete Section H if (wife)(husband) acquired citizenship by naturalization, and/or Section I if wife was previouslymarried before March 3, 193L)(WFE'S) (HUSBAND'S) FULL LEGAL NAME PLACE OF BIRTH (City, State)DATE OF BIRTH DATE OF MARRIAGE

EXCLUDE PERSCNS, AS FOLLOWS:

E MY WFEE my HUSBAND

WHO IS/ARED TO APPLY FOR SEPARATE PASSPORTC] NOT TO ACCOMPANY

a

3OO

V I

0


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K

PAGE 2TO BE COMPLETED BY AN APPLICANT REQUESTING INCLUSION IN THE PASSPORT OF A RELATIVE WHO ACQUIRED CITIZENSHIPTHROUGH NATURALIZATION

MYMMIGRATED TOTHE U. S. ON (Month, day, year)

ACQUIRED U. S. CITIZENSHIPON (Month, day, year)

THROUGH THE NATURALIZATION OF

I`ELF L- 1 PARENTFORMER HUSBANDWHO WAS NATURALIZED BEFORE THE (Name of court) LOCATED IN (City. state)

AS SHOWN BY THE ACCOMPANYINGCEATI FICA/ E OF NATURALIZATION NO.

TO BE COMPLETED BY AN APPLICANT WHOSE WIFE WAS PREVIOUSLY MARRIED BEFORE MARCH 3, 1931, AND WHO IS TO BE INCLUDEDIN PASSPORT (If married more than twice, set forth facts in asupplemental stay,,,,,,,)HER MAIDEN NAME WAS DATE Or PREVIOUS MARRIAGE

NAME OF FORMER HUSBAND PLACE OF PREVIOUS MARRIAGE

FORMER HUSBAND'S PLACE OF BIRTH MARRIAGE WAS TERMINATED BYATEDEATHDVORCEIN THE EVENT OF DEATH OR ACCIDENT NOTIFYNAM INFULLELTIONSMIRTREET AGGRESS, Gl r, STATE

I have not (and no other personbeen naturalized as a citizen of a foreignforeign state; entered or served in theployment under the government of aparticipated in an election or plebisciteity either in the United States or beforeed the benefits of the nationality ofmtting any act of treason against,overthrow, put down or to destroy by

(If any of the above-mentionedcluded or to be included in the passport,under oath for affirmation) by the person

I solemnly swear (affirm) thattional persons included in my passport;cation for passports and been refused.

included or to be included instare; taken an oath orarmed forces of a foreign state;

foreign state or political subdivisionto determine the sovereigntya diplomatic or consularany foreign state; or been convictedor attempting by force to overthrow,force, the Government of the

acts or conditions have beenthe portion which appliesto whom the portion is applicable

the statements herein made arcthat they are nor now in

the passportmade an

overofficer ofbyorUnited States.performedshould

true andpossession

acceptedthereof;

has), since acquiring United Stares citizenship,affirmation or other formal declaration of allegiance to aor performed the duties of any office, post, or em-voted in a political election in a foreign stare orforeign territory; made a formal renunciation of national-

the United States in a foreign state; ever sought or claim-a court or court martial of competent jurisdiction of com-bearing arms against, the United States, or conspiring to

by or apply to the applicant, or to any other person in-be struck out, and a supplementary explanatory statementshould be attached and made a part of this application.)

that I have not previously asked to have these addi-of valid passports, and that they have not made appli-


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(PLEASE PRINT OR TYPE PENCIL NOT ACCEPTABLE) 1or Departmant DecisionDEARTMENT OF BTATE,

A P P L IC AT I O N F O R X P A S S P O R T " 1 R E G IS T R A T I O NPID 1r 1 : LOCATION Jakarta, IndonesiaPOST ACTION

PASSPORT ISSJEDEGISTRATIChAPPRDVENa2433100we .LCtulta 1 fte ALL ?riff ies in all sections that apply to you.f information isunknown, write "Unknown' , Do not leave blank spaces.se additionalsheets where space provided is not adequate. June 2,1976Datexpit.tsEApir*June1981CARD OF IDENTITY AN D REG.TO BE CO MPLETED BY ALL APPLICANTS 4-07'0 Appiicotion tee :oil/vol.).iFiist -iarneM i d d le namCast name'i./1//i/94-1STAIN LEYNA)oEralt,,,tizenA D 1 0 Fire collectedi,Z, Aots--Na Fee''''ee.ti(l $3 C.* a1'"." (Se' cord)i Official passport413Poge oassportor the United States, do hereby apply for (a bassi.' -J! , t!egIS:r3tion)DATE OFMonth

/ BIRTHDay29 Yor4 1 2 PLACE OF BIRTH(City, state/province, country)WIG N I net, KA NsAsi 6,154 MY LAST PASSPORT WAS OBTAINED FROM(Nate :r incvEm in snotileris passport, stet. name of bearer)1..ICWISO *i 156 ulrIg Office.rii 0104 I.; Dote of Issuance'''...),4Ail,iiei) -?HEIGHT rat5 r', . . . COLOR OF HAIR(Spell out)a lLoW N COLOR OF EYES(Spell gut)8fte WN SOCIAL SECURITY NO.535-0-7 - F7 -bc7--i-v-:?7717 - 3 - 7.;7',-I Submitted herewith4CanceIted and returnedOther1 . _ _ _ , Seen and returned disposition (store)ISIBLE DISTINGUISHING MARKSCCURA TI ON 4.4tA A 9FtNo AIL77/1,NOWRESIDING AT 074 .m VI PIl e 0 A 1 I L IMeArreNCALAI*,AN, RYA MY LAST REGISTRATION AS A CITIZENO F T H E UNITED STATES WAS APPROVEDLooation af Registertng Ofijc. Dote or RegistrationPERMANENT RES DENSE (Street arldm.s. city.KM (If same as above,417 5 . 8E11E7-AN/A NoIN THE EVENT OF DEATH OR ACCIDENT NOT(Non.. inVetotionslidol to city, state)STANI_EYV140 .1414 FA?REt617 5. 6 EiterAN lA ii I0 Sel 044,4ad / /HAVE YOU EVER BEEN REFUSED A PASSPORT OR REGISTRATAS A CITIZENOF THE UNITED STATES? El Ye'/Pira' v IPE ANSWER IS "YES", EXPLAIN WHEN AND WHYT O BE COMPLETED BY AN APPLICANT WHO BECAME A CITIZEN THRO UGH NATURALIZATION

I IMMIDRA T E D T O TIICU.S.(Month, year) I DCIADED CONTINUOUSLY IN THE US.From fYearlo ( Y e a r ) NATU RALIZATION CERTIFICATE NO.EjSubmtted herewithCSeen and returnedI:=I PPS ), /GUI ly submtted

PLACE NA TURAL ZED (City, Oahe) NATURALIZATION COURT DATE NATURALIZED

COMPLETE ONLY IF OTHERS ARE TO BE INCLUDED IN PASSPORT OR R EGISTRATION AND S I P IN I T GR OU P P HOT OGR A P H(WIF E'S) (HUSBAND'S) FULL LEGAL NAME 1InArivE BORN IONATURALIZED NATURALIZATION "-..ERTI F ICA TE NO.ueen and F*TIOIIIPLACE NATURALIZED (City, state) NATURALIZATION COURT ( OATE NATU RALIZES(WIFES) (HUSBANDS) PLACE OF BIRTH(City, Store or Province, Count y) DATE OF BIRTHRito-, O0 . Tor


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FORM S-1757 4AGE 2FATHERS NAMEsvr'AN4E7''uN NAM FATHER S PLACE OF BIRTH ,C'v. Sefc Frov tnce se C. suns.). ,WI #4 /TAAN CAS Ku S. CITIZEN7oT U.S. z , TizENDATE NATURALIZED PLACE 4 ATURALIZEO iCity. stoe)

FATHER'S DATE OF BIRTHm AitcH 03 i 'VS FATHER DECEASEDefFATHER RESIONG AT, 1 0 /444 04NE i dIIMOTHER'S PLACE ^JF BIRTH :C IyP E R VANSASF ATHER RESIDED , SI U.SFran, fg 71 ,7 1.item. Pra,r. s- ZO,V , -;';- er" - &A l. s_ U.S. CITIZEN, _ ,- N O T U.S. CITIZENMOTHER'S MAIDENNAME44 DEL' IVAYDATE NATURALIZED PLACE NATURALIZED ;Gtr. s tate)MOTHER'S DATE OF BIRTHcar , 04, /?22 ,C] MOTHE R DECEASEDr10,-,ER R'=IOING AT Nay et,01..0 1 1 1 1 MOTHER RESIDED ;t4 J.S.F , . . . .; 7 ( 7 . . r /-1,e6570 I WAS NEVER MARRIEDWO WAS LAST MARRIED ON pore) #44 IleCil

I PRESENT FULL LEGAL NAME OF/571 /tdPS'IL 0 A 0O E'TO

HUSBAND'S OR WIFE'S DATE OF BIRTHTAN. AI /915HuSBANO ORWIFEROL.. . HUSBAND OR WIPE 15 U.S. CITIZENf r otsaaND OR WIFE IS NOT U.S. CITIZENHUSBAND'S OR WIFE'S PLACE OF BIRTH (City, tate)SAnDUN%N DON es !A

HUSBAND OR WIFE NIDWRESIDING ATD.TAIOLPTA i I "TONES/ ATtiC eC SidWI

S hr oI N : : :s ._:- is...I1P''"7L?"...,..t;;.1 '.-7,--....41,. ;, . . , .. . , ,-i i--sii..s,..-s .._ :uocumenrs =mum merewan are pumsnaore uy

issued pursuant to this application is punish-contained therein or of the passport regula-

CARRIAGE NOT TERMINATED--IMARRIAGE TERMINATED BY 0 DEATH0 DivORCE ON

PROPOSED TRAVEL PLANSAJ INTEND TO RETURN TO THE UNTT o uF .SI DEYEARS. STATES WITHIN,, ',SIT.NDEFINITE.THE UNITED STATES

19 ,MONTHS

1 NEVER INTEND TO RETURN TOI INTEND TO CONTINUE TO RESIDE AtlipA)FAI 130)LAWING !JASONerrvitki 7'0 INEIF. 771rOMPLETEr S SE ZTACOMPLETE IF RETURNING TO U.S.PORT OF DEPAR-UREATE OF DEPAR -7uRE074. A x e r - 4Ei l 1176NAME OF SHIP OR AIRLINErow Alre4WARNING:aiSE statements made knowingly and willfully in passport applications or in affidavits or other supporting

fine and /or imprisonment under the provisions of 18 USC 1001 and/or 18 U SC 1542. Alteration or mutilation of a passportable by fine and/or imprisonment under the provisions of 18 USC 1543. The use of a passport in violation of the restrictionstions is punishable by fine and/or imprisonment under 18 USC 1544.I have not (and no other person included in the application has), since acquiring United States citizenship, been naturalized as a citizen of a foreign state; taken an oath ormade an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or p erformed the duties of


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PPLICAT1ON FOR M PASSPORT u REGISTRAT10It POST LOCATIONa- - : : : : ..rt a ,-- r.;POST ACTION:PASSPORT ISSUED--EGISTRATION APPROVED:".37371ateoIFALL entries in all sections that apply to you. If information is unknown.iv"Unknown.' Do not leave blank spaces. Use additional sheets where space

provided is not adequate. PRINT OR TYPE ENTRIES, Data/23/al.xpi resExpires/3 7 . r9, ' ,ARD CF IDENTITY AND REG.O B E COMPLETED BY ALL APPLICANTS

1 .3S3 Application feeo.)First name(Middle name)Last name)STANLEYNNUNHAMI,citizen collected Datei n $10 Fee collectedu No Fee passport $5 fee collected (for card)u Official passport48-pageu96-page passportof the United States, do hereby apply for le passport) (registration).SEX (M-F)F BIRTHPLACE (City, State or Province, Country)/ Vi..: ry I TA ,KANSAS,.S.A. BIRTH DATEMonthayearNov.)91 9 4 2 APPLICANT'S EVIDENCE OF CITIZENSHIPu Birth Certificate-Passportu Certificate of Naturalization or CitizenshipData:11 4-176

-Bearer's Name;---' ,Submitted HerewithN oc _ . 2 . . , + : 7 ; s t - 0 c , - ,KCanceted & ReturnedPlace:...(....L.),x.471 / 4 _ , . . "Seen & ReturnedHEIGHT5Ln. COLOR OF HAIR(Spell out)BROWN COLOR OF EYES(Spell out)BROWN SOCIAL SECURITY NO.(Not mandatory)535-40-8522NOW RESIDING AT Jalan Daksa 1/14, Kebayoran BaruJakarta Selatan,ndonesia MY LAST REGISTRATION AS A CITIZENOF THE UNITED STATES WAS APPROVEDPERMANENT RESIDENCE (Street Address, City, State, U.S. ZIP Code) (If =TOas above,s4`" cat617 South Beretania, Apt.1008,on.,awaii Location of Registering Office Date of RegistrationIN THE EVF.NT,geF ACCIDENTName in full.14,011.cAddress: l c I /u OR DEATH NOTIFY (Not mandatory) (Do not give name of a person who will accompary:vu when traveling)linha inelationship:,n Becariiit,t1g,1110,Jimululli EzwAiihone No.: tbIU49-2317HAVE YOU EVER BEEN REFUSED A PASSPORT OR REGISTRATION =...i AZ. rZEN OF THE UNITED STATES?YesN No

IF ANSWER IS "YES." EXPLAIN WHEN AND WHY

FATHERS NAMESTANLEYUNHAM BIRTHPLACE 1/4/C74KANSAS,.A. , Mar,A,BIRTHDE3 U.S. CITIZENK y , ,N .MOTHERS MAIDEN NAMEMADELYN PAYNE BIRTHPLACEe: zi,/KANSAS,l.. , A . BIRTHDATEOct.26,'22 U.S. CITIZENjoy. u N 0.1In I WAS LAST MARRIED orilarch64,.., p ? . . l w ' ' , . , , X , . r . s : , a , , , V "dsowt: , ? , a ll vmoi i cd ed j n a m e - compete01 WAS NEVER MARRIEDolo Soornt 4 ; . 4 ,L 2 4 i ,/HUSBANDS21; PLACE

Bar'' 4 ung,ndorse- VilIFSS/HUSBANCrSBIRTH DATEJan., 1 9 3 6 U,S. CITIZENu Yes IK I No 0 MARRIAGE NOT TERMINATED0 MARRIAGE TERMINATED BY0 DEATHti a DIVOFICE ONug-28.98 0 S 1 aYOU OR ANYONE NCLUDED IN SECTION B OF THIS APPLICATION BEEN ISSUED ORIne-LvDED IN A U.S. PASSPORT? ZI Yes NoIF YES, SUBMIT PASSPORT. IF UNABLE TO SUBMIT MOST RECENT PASSPORT, STATE ITSDISPOSITION: Am submitting o .= 2433100ssue Date:June 2,976

(PHOTO REQUIREMENTS FOR COMPLETE IF CHILDREN OR BROTHERS AND SISTERSUNDER AGE 13, AND/OR WIFE/HUSBAND, ARE TO BE (CONSULAR OFFICE USE ONLY)


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sir-ido 1'19 PAGECE

F

H

TO BE COMPLETED BY AN APPLICANT WHO BECAME A CITIZEN THROUGH NATURALIZATIONI IMMIGRATEDTO THEU.S.Month, year) I RESIDEDCONTINUOUSLYIN THEU.S.rom (Year)o (Year) NATURALIZATION CERTIFICATE NO.u Submitted herewithu Seen and returned

u Previously submittedPLACE Na-rURALIZED(City, state) NATURALIZATION COURT DATE NATURALIZED

TO BE COMPLETED BY ALL APPLICANTSOCCUPATIONP R O G R A M C F F I C E R , F O R D F O U N D A T I O N VISIBLE DISTINGUISHING MARKS n o n e%OMEN MUST COMPLETE FOLLOWING IF CHILDREN OF A PREVIOUS MARRIAGE ARE INCLUDED OR IF PREVIOUSLY MARRIED BEFORE M ARCH 3. 1931I WAS PREVIOUSLY MARRIED ON TO (Full legal name) WHO WAS BORN AT (City, State, Country)

ON (Date of birth) 0 FORMER HUSBANDWAS U.S. CITIZENu FORMER HUSBAND WAS NOT U.S. CITIZEN

PREVIOUS MARRIAGE TERMINATEDBY0 DEATHuDIVORCEON (Date)

COMPLETE IF APFtICANT OR ANY PERSON INCLUDED INSECTION BOLAS NOT BORN IN THE UNITED STATES AN D CLAIMS aTIZENSHIP THROUGH PARENTEENTEREDTHE U.S.Month)Year)u Applicantu Wifeu Husbandu Child

IF FATHER NATURALIZED: IF KNOWN, FATHER'S RESIDENCEPHYSICAL PRESENCE IN US.From (Year)o (Year)ate Certificate No.

Before (Name of Court) Piece (City, State)

RESIDENCE/CONTINUOUS PHYSICALPRESENCE IN U.S. From(Year) To (Yost)u Applicant[. Wife[HusbandCr Child

IF MOTHER NATURALIZED: IF KNOWN, MOTHER'S RESIDENCEPHYSICAL PRESENCE IN US.From (Year)o (Year)ate Certificate No.

Before (Name of Court) Place (City, State)

(ROPOSED TRAVEL PLANS (Not Mandatory)I INTENDTO CONTINUE TO RESIDE ABROADFOR THE FOLLOWING PERIODANDPURPOSE

T w o y e a r s c o n t r a c t w i t h F o r d F o u n d a t i o n f r o m J a n u a r y 1 9 8 1 - D e c e m b er 1 9 8 2 .I INTEND TO RETURN -TO TKE UNITEDSTATES WEAMANENTEYTd RESIDE WITHIN YEARSONTHS DATE OF DEPARTUREPRIVACY ACT STATEMENTThe information solicited on this fdrm is authorized by, but not limited to, those statutes codified in Titles 8, 18, and 22, United States Coda, and allpredecessor statutes whether or not :ocified, and all regulations issued pursuant to Executive Order 11295 of August 5, 1966, The primary purpose forsoliciting the information is to establish citizenship, identity and entitlement to issuance of a United States Passport or related facility, and to properlyadminister and enforce the laws pertaining thereto.The information is made available at a routine use on a need-to-know basis to personnel of the Department of State and other government agencies havingstatutory or other lawful authority to maintain such information in the performance of their official duties; pursuant to a subpoena or court order; and,es set forth in Part 6a, Tide 22, Code of Federal Regulations (See Federal Register Volume 40. pages 45755, 45756, 47419 and 47420).Failure to provide the information requested on this form may result in the denial of a United States Passport, related document or service to theindividual seeking such passport, document or service.NOTE: The disclosure of your Social Security Number or of the identity and location of a person to be notified in the went Of death or accident isentirely voluntary, However, failure to provide this information may prevent the Department of State from providing you with timely weistance or


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57,1-A) L.EY r?pJ AJ

1514,7 SPECKELS sr,L . , N4// 76F., 2

t/i/i/i/'6' it154S L2SI9 M A 3552E8/ -4i,gV08- 51;:,6-e3gok16Roc,L in ioglz/Pgws - X

Z3 o 3 7.ga 11 cotki5oLr4-Af7 Ai4anwes23/s7,2 5AceCk-.L 5 570'0/0 0404 C, hi

1 1,4/Ekg/4/ rio/AJES57 -4-fiLE_Y 4NN i4iM2E-LYA) pciAlotirl/ a /7 5. 6ER&Tiv /it 1Ic,og


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A:1=p )4.1110-1/74


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C E R T IFIC A T IO N DE C L A RA T IO N O FC h ristopher-E arl: Strunk in esse

TO W HOM IT MAY CONCERN:I, Christopher-Earl: Strunk in esse, hereby declare and certify under penalty of perjury with 28USC 1746 , that:

1. I am the Plaintiff in the case Strunk v US DOS USDC for the District of ColumbiaDocket 08-cv-2234 seeking the passport related records of Stanley Ann Dunham (a.k.a.S. Ann Dunham O bama, a.k.a. S. Ann Dunham Soetoro) (deceased); and2. I am the Petitioner in the matter of the Freedom of Information Act Request for thepassport related records of Stanley Ann Dunham et al. with case control number:200807238.3. On or about July 30, 2010, I received a transmittal of six individual records marked P1

through P6 showing the front and back of each for a total pages of 12 plus the two pagecover letter of July 29, 2010, and4. That on July 29, 2010 all the records marked P1 through P6 were deemed all thoseavailable regarding the above referenced matter described in the cover letter by JonathanM. Robin, Director for the Office of Legal Affairs and Law Enforcement Liaison Bureauof Consular Affairs Passport Services (see the attached).5. Of particular interest is the "Amend to Include (Exclude) Children" entry by Stanley AnnDunham Soetoro who subscribed to on 13 August 1968 on page 2 of the Documentmarked P1 shown in her own handwriting crossed out to mean to ex clude "BarackHussein O bama (Soebarkah)" from her passport renewal.


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Dr. Orly Taitz, Attorney-at-Law(California SBN 223433)Orly Taitz Law Offices26302 La. Paz, Suite 211Mission Viejo, California 92691Telephone: (949) 683-5411E-Mail: dr [email protected] STATES DISTRICT COURTFOR THE CENTRAL DISTRICT OF CALIFORNIASANTA ANA (SOUTHERN) DIVISIONCaptain Pamela Barnett, et al.,Plaintiffs,

v.ivil Action:Barack Hussein Obama,Michelle L.R. Obama,Hillary Rodham Clinton, Secretary of State,Robert M. Gates, Secretary of Defense,Joseph R. Biden, Vice-President andPresident of the Senate,Defendants.

SACV09-00082-DOC (Anx)

Affidavit of Susan Daniels1. My name is Susan Elizabeth Daniels, 1 am over 18 years old, am of sound


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usan Elizabeth Dam

further, I found an additional eight social security numbers. One of the numbers had(Deceased) behind it. I was able to find the name of the person the SSN actuallybelonged to and printed it from the Social Security Administration death index.6 . I researched social security numbers for Michelle Obama. When I ran hername, two different social security numbers appeared for her, including one thatdoes not belong to her but is listed for her at 1600 Pennsylvania Ave. Washington,D.C.7. The true and correct copies I personally obtained are attached.8. 1 solemnly swear under penalty of perjury that all the facts stated andcircumstances described above are true and correct statements.

I have not received any compensation for making this affidavit.Further, Affiant saith nagg4 ySigned and executed inn thisJf day ofOctober, 2009.


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NOTARY'S 3 U RATSusan Elizabeth Daniels appeared before me in person on this _It_ clay of

October, 2009, in/LL (city)'7 -(state),country) and having presented to me her tver's license andhaving been sworn by me duly under oath and having been admonished that she didso under penalty of perjury, she did then and there depose herself and give the above-listed statements in my presence in the form of his written affidavit.

Specifically but without limitation, Susan Elizabeth Daniels did in my presenceauthenticate the documents attached here as a true and correct copy of the documentsshe obtained and described in her affidavit.

Notary Public in the State of Ohio


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Se ichttps://secureaccurint.com/applbps/mainAnull NameMir:HFL IT DRAMA,

LJ ( Gender. Female)5 ( 1 -5oxxxx

I/( HELL F OBAMAGender Female

Age/DOB Addressateshone information a . u ).VE.

C -K7430 IL 63615-2806ug 05 -Aug 071 OLD STATF CAPI7 1.7 APTSDRINGf - IELD IL 32f'Cl '1512ay 09 -S e p 0 9

,," ioiDHEL LE OBAMA6C(I PENNSYLVANIA AV E. MA/.,:/: JA OSN GTON IX; :20S,SC) 0007.:; - :Iender Femaleewspaper facility.? W ". ' . a i s - , ' o . . , .x . Jun 08 - Sep 09%,11D616i D.TNVE..!-; C0 30239ul 09 -Aug 09Gender Female522-67 -xxxx

MICHELLE:. 0 BA MA23 VV NORTH AVE: 4 1ender: FemaleAROL STREAM it I ;0188-200 Iar 09 Aug 09

mIcHELLE ()SAWA: 136 4 M ILE RD NVI APTGRAND RAPIDS MI 45544 - 1502an 09 - Jul 09Gender: Female324-56-xxxxmicHELL E GBAMAII CAI HARINE14 I ILAILFI PHIA PA , +147,.7,009p r 0 7Gender. FemaleintcHr I HODES AVE AP - I 180 72


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SSN Ve rif ier PlusSSNM111110.4425

Year(s) Issued: 1 9 7 7 - 1 9 7 9State issued: Connect icut

SSN not found in Social Security Death Index

O B A M A , B A R A C KO B A M A , B A R AC K H U S S E I N

189008/04/196104/08/1961


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Tracers Information Specialists, Inc. - Standard People Searchttps://www.tracersinfo.com/SearchCentral/viewreturn.php3?pargs= Standard Pe ople Search105 RecordsSearch CriteriaNa m e : O BAM A, BARACKFlags: Arrests, Bankruptcies, Criminal Records, Evictions, Professional Licenses, Warrants

Reportsameddr e ssap sSNIDOBhoneROBAMABARACKH

295 HARVARD ST 1505xCAMBRIDGE MA 02139-2382Rep or t e d : 0 1 / 20 0 9 - 0 1 / 0 1 / 20 0 9County: Mddlesex M apI t NOBAMABARACK 1600 PENN AVExWASHINGTON DC 20007Rep or t ed : 12 / 20 0 8 -12 / 2008County: District of Columbia MapI t NOBAMABARACK 559 W GOLF RDxARLINGTON HTS IL 60005-3904Rep or t e d : 11 /20 0 8 - 11 / 20 0 8County: C o o k

MapIt N

OBAMABARACK56 THORNTON RDxNEEDHAM MA 02492-4330Rep or t e d : 0 9 / 20 0 8 - 11 / 20 0 8County: N O R F O L K MapIt N;: : = : I OBAMABARACK 713 HART SENATExWASHINGTON DC 20510-0001Rep or t ed : 11 / 20 0 8 -11 / 2008County: District of Columbia MapI t N

1 : 7 - 7 : 1": " OBAMABARACK3fi.2F ni IVFxDENVER CO 80207-1523Rep or t e d : 0 9 / 20 0 8 - 11 / 20 0 8County: Denver

MapI t (720)336- 7 7 2 2 N810E 13TH AVE xEUGENE OR 97401-3742


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Tracers Information Specialists, Inc. - Standard People Search https://www.tracersinfo.com/SearchCentral/viewretum.php37pargs=

O B A M AB A R A C KH U S S E I N5450 S EAST VIEW PARK PK lxCHICAGO IL 60615R e p o r t e d : 08/202008 - 08/20/2008County: C o o k

4425Mapandl ine:I tssu e d : 1977-1979 in CT7 73)684-4809DOB: 08 / 04/1961 Age: 4814 W ERIE STxO B A M AHICAGO IL 60654B A R A C KPOSSIBLE HICK RISK)LWYRe p o r t e d : 08/ 20 / 2008 - 08/ 20 / 2008County: C o o kE - mail: bobama@lawmbg comNo IP Address Reported)M apIt Cell:(312)310- 0069 NPhone: (312)751-1170r: l O B A M AB ARACK N O A DD RE S S R E P O R T E DC H I C A G O I L 6 06 1 5R e po r t e d : 08/18/2008 - 08/18/2008County: C o o k N

O B A M ABARACK180 N LASALLExCHICAGO IL 60601 ,(P C) , L -, IF D L E H I GH P I S I 1Reported: 08/ 18/ 2008 - 08/ 18/ 2008County: C o o k M apt NO B A M AB A R A C K 83775 BATES RDxJACKSON NJ 08527R e po r t e d : 02/ 2008 - 08/ 2008County: O c e a n M apI t 485-40-5154 CDEG \...7 D) c-%I s s u e d : 195 4-195 5 i n IA/A Nif7H4 07e w /IB A M AB ARACK 1000 33RD AVExFORT WORTH TX 76180R e p o r t e d : 08/ 2008 - 08/ 2008County: Tarrant MapI t N

O B A M AB ARACK505 FARR CxCOLUMBUS GA 31907-6275R e p o r t e d : 01/ 2008 - 08/ 2008County: Muscogee M a pI t 420-67-2965 N-a: :, O B A M AB A R A C K 1603 RUCKER RDxALPHARETTA GA 30004-1435R e p o r t e d : 08/2008 - 08/2008County: F U L T O N MapIt N

O B A M AB A R A C KH U S S E I N180 N LA SALLE ST 2200 xCHICAGO IL 60601-2610(PC):3 'Z + 1 [ 3 !7Ill.:1!1 S':)R e po r t e d : 06/012007 - 06/01/2008County: C o o k M a pI t 4425Iss 97 7 -197 9 i n C TDOB: 08/04/1961 Age: 48 Landl ine:(773)684-4809 N


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Tracers Information Specialists, Inc. - Standard People Searchttps: //w w w .tracersinfo.com/Search C entrat/viewreturn.php3?pargs= 5450 S EAST VIEWPARK 1x1;9- :; I I ""'""'"B A R A C KHUSSEIN CHICAGO IL 60615Reported: 03/25/2008 - 03/25/2008County : Cook MapI t T4-V1 1 . 1 1 . 1 1 1jssu1977 -1979 i n C TDOB: 08/04/1961 Age: 48 Landline:(773)684-4809 NO B A M AB A R A C K N O A D DR E S S R E P O R T E DC H IC AG O IL 0Reported: 03/03/2008 - 03/03/2008 N

O B A M AB A R A C K40 TRANSFER STxDENVER CO 80207Reported: 03/2008 - 03/2008Cou n ty : Denver MapI t Landline:(303)545-0199 Nh . , i- : - - : O B A M AB A R A C K 111 PENNSYLVANIA AVExWASHINGTON UT 84780Reported: 08/2007 -02/2008Cou n ty : Washington MapIt 799-89-7090 N

- - - - O B A M AB A R A C K505 FARR CxCOLUMBUS GA 31907Reported: 02/2008 -02/2008Cou n ty : Muscogee MapI t 423-29-2961Issued: 1988-989 in AL N,..,ny O B A M AB A R A C KL V V Y R 14 VV ERIE STxCHICAGO IL 60610(POSSIBLE HiGi, RISK)Reported: 01/02/2008 -01/02/2008Cou n ty : Cook Ma pit Landline:(312)751 -1170Cell:(312)310-0069 N

E-mail: [email protected] IP A ddress Reported)hone: (312)751-1170Reports Name A d d r e s s M a p s SSN / DOB Phone A R

O B A M AB A R A C KHUSSEIN5450 S EAST VIEWPARK PKxCHICAGO IL 60615Reported:eported: 01/02/2008 - 01/02/2008Cou n ty : Cook P v 1 a pI t 4111111 44251977 -1979 i n C TDOB: 04/08/1961 Age: 48 Landline:(773)684-4809 NO B A M AB A R A C K PO BOX 1236xPROVO UT 84603-1236Reported: 01/2008 - 01/2008Cou n ty : Utah N

O B A M AA R A C K15 AlAxMANALAPAN FL 33434Reported: 01/2008 -01/2008Cou n ty : Palm Beach

MapIt 651-23-4987 N

O B A M A 5450 S EAST VIEWPARK 1 x alg4425


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T r a c e r s I n fo r ma tio n S p e c ial is ts , In c . - S t a n d a r d Pe o p l e S e a r c hups://www.tracersinfo.com/SearchCentral/viewreturn.php3?parg..123 MAIN STxO B A M AANSING MI 48910apB ARACKe po r t e d : 07 / 2007 - 07 / 2007tCounty: Ingham NO B A M ABAR AC KH

MapIt180 N LA SALLE ST 2200NxCHICAGO IL 60601-2501( P O S S I B L E . H I G H R IS K )R e po r t e d : 02/ 2007 - 06 / 2007County: Cook 111111114425I s s u ed : 1 9 7 7 - 1 9 7 9 i n CT NReports Na me A ddr e ss Maps SSN / DOBkP a s 1 O B A M AB A R A C K 1236 PO BOXxPROVO UT 84603R e po r t e d : 06/2007 - 06/2007County: Utah 901-09-8765 N

OBAKE3ARAC610E OLD WILLOWRDxPROSPECT HEIGHTS IL60070-1913R e po r t e d : 04/ 2007 - 04 / 2007County: Cook MapI t NO B A M AB ARACK 505 CATHARINE STxPHILADELPHIA PA 19147-3009R e p o r t e d : 04/2007 - 04/2007County: Philadelphia MapI t N

O B A M ABAR AC KH U S S E I N

5450 S EAST VIEWPARK 1xCHICAGO IL 60515-5916R e p o r t e d : 07 / 2006 - 07 / 2006County: Cook MapI t 4425Isa: 1977-1979 in CTDOB: 08/04/1961 Age: 48 L andl i ne :(773)684-4809 NF - 5 12 : . - . O B A M AB A R A C KS

607 E ADAMS STxSPRINGFIELD IL 62701-1634(ROSSIBLE I IIGH RISK)R e p o r t e d : 04/ 21 / 2006 - 05 / 07 / 2006County: Sangamon Map1 t Landl ine:(217)492-5089 NO B A M AH A R A C KH U S S E I N 300 MASSACHUSETTS AVE 5xWAS H INGTC)N r - r, ',,noriReported: 02/01/2006 - 02/01/2008County: District of Columbia

NopI t1425"M e 1977-1979 in CTDOB: 08/04/1961 Ag e : 48 Landl ine:(( /3)62/4- 480$. 1

,: : : O B A M ABAR AC KH U S S E I N227 6TH ST xWASHINGTON DC 20002R e po r t e d : 02/01/2006 - 02/01/2006County: District of Columbia

MapI t11111.4425I s su e d : 1 9 7 7 - 1 9 7 9 i n C TDOB: 08/04/1961 A ge : 48

L andl i ne :(773)684-4809 N


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T racers In fo rm at ion S pe c ia l is ts, Inc . - S tandard P e op le S earchttps://www.tracersinfo.com/SearchCentral/viewreturn.php3?pargs=..O B A M AB ARRACKO B A M AB ARACK

14 WERIE STCHICAGO IL 60610-5397(POSSIBLE HIGH RISK)R e p o r t e d : 12 / 21 / 2 004 - 01 / 2006County: Cook

2 xMapIt Landl ine:(312)751 - 1170

E-mail: [email protected] (No IP Address Reported) P h o n e : ( 31 2 ) 7 5 1 - 1 1 7 0

O B A M AB ARACK5046 S GREENWOOD AVExCHICAGO IL 60615-2806,(POSSIBLL: HIGI-- ;),isi()R e po r t e d : 07/2005 - 11/2005County: Cook MaPI t 1111114425I s su e d : 1 9 7 7 - 1 9 7 9 in C T Landl ine:(773)684-4809 N

O B A M AB A R A C KH U S S E I N54501 E VIEWPARKxCHICAGO IL 60615R e po r t e d : 06/01/1997 - 05/26/2005County: Cook

Ma pIt4425Is"!97 7 -197 9 i n C TDOB: 08/04/1961 Age: 48 Landl ine:(773)684- 4809 N

( O B A M AB A R A C KH U S S E I N 7436 S EUCLID AVE 2xCHICAGO IL 60649R e p o r t e d : 05/26/2005 - 05/26/2005County: Cook MapI t alle4425I s su e d : 197 7 -197 9 i n C TDOB: 08/04/1 961 Ag e : 48 Landl ine:(773)684 - 4809 N1 r 7 t z .- 1 O B A M AB ARACKH U S S E I N 54501 SE VWxCHICAGO IL 60615R e p o r t e d : 05/26/2005 - 05/26/2005County: Cook MapI t 41111 4425I s su e d : 1 9 7 7 - 1 9 7 9 in C TDOB: 08/04/1 961 Age: 48 Landl ine:(773)684- 4809 NO B A M AH U S S E I N

5450 E VIEWPARK 1xCHICAGO IL 60615R e po r t e d : 05/26/2005 - 05/26/2005Courtly: Cook M apIt 4111111-4425I s su e d : 1 9 7 7 - 1 9 7 9 i n C TDOB: 08/04/1961 Age: 48 Landl ine:(773)684- 4809 NO B A M AB ARACK 5450 S EAST VIEWPARK 1xCHICAGO IL 60615-5916R e po r t e d : 05/2005 - 05/2005County: Cook MapIt NO B A M AB ARACK

1013 E 53RD STxCHICAGO IL 60615-4311R e p o r t e d : 12/21/2004 - 01/14/2005County: Cook

MapIt

Landl ine:(773)363 - 1996 N

O B A M A14 WERIET xCHICAGO IL 60654-5397 Map Landl ine:'''-


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Tracers Information Specialists, Inc. - Standard People Searchttps://www.tracersinfo.com/SearchCentraiNiewretum.php3?pargs=..5450 S EAST VIEWPARK 1xM ''''''''''BARACKH CHICAGO IL 60615-5916R e p o r t e d : 10/1997 -10/2002County: Cook ma ,I t''' ........,,,,,--TL,..1i s su e d : 1977-1979 in CTDOB: 08/04/1961 A ge : 48 N...,.3 : i f l O BA M ABARACKH

5450 S EAST VIEWPARK 1xCHICAGO IL 60615R e p o r t e d : 07/2002 - 07/2002County: Cook MapI t 4425see: 1977-1979 in CT NO BA M ABARACKH 5450 S EAST VIEWPARK 1xCHICAGO IL 60615R e p o r t e d : 07/2002 - 07/2002County: Cook MapI t 350-60-2302I s su e d : 1975-1976 in IL N_ .-- , - OBAMAARACKH

365 BROADWAYxSOMERVILLE MA 02145 - 2440Rep or t e d : 0 6 / 0 1 / 1986 - 07/17/2001County: Middlesex

MapI t

alt4425I s su e d : 1977-1979 in CTDm 08/84/1881 Ag e : 48 684-4809 No OBAMABARACK

HUSSEIN

7436 S EUCLID AVE 2xCHICAGO IL 60649R e p o r t e d : 11/13/2000 -11/132000Cou ty : Cook MapI t- 442511: 1977-1979 in CTDOB: 04/08/1961 A ge : 48 Landline:(773)684 - 4809 N1-rilBAMABARACKH 7436 S EUCLID AVxCHICAGO IL 60(349-3626Reported: 06/01/1986 - 11/13/2000County: Cook Mapt -4425'red 977-1979 in CTDOB: 08/04 /1961 Age : 48 684-4809 NO BA M A1 : 1A R ACKf. HUSSEIN 5450 VIEWPAxCHICAGO IL 60615Reported: 10/01/1999 - 10/01/1999County: Cook MapIt allIR-4425Ist i " - - . : 1977-1979 in CTDOB: 04 /08/1961 Age : 48 Landline:(773)684 - 4809 NReportsam eddr e ssap sSN / DOBhoneRBAMABARACKH 54501 SE VIEW PKxCHICAGO IL 60615Reported: 06/01/1986 -10/01/1999County: Cook MapI t illIM-425I s su e d : 1977-1979 in CTDOB: 08 /1961 Age: 48 684-4809 NO BA M ABARACKHUSSEIN 54501 SE VIEW PKxCHICAGO IL 60615Reported: 10/01/1999 - 10/01/1999County: Cook MapIt 425W:1977-1979 in CTDOB: 08/04 /1961 Age: 48 Landline:(773)684- 4809 NIIl OBAMABARACK 5450 S EAST VIEWPA 1 xCHICAGO IL 60615 - 5916R e p o r t e d : 06/01/1986 10011999 NMap1 t 425te dued: 1977-1979977-1979 in CT 684-809Landline:


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https://www.tracersinfo.corn/SearchCentral/viewreturn.php3?pargs=..racers Information Specialists, Inc. - Standard People Search

OBAMAB A R A C KHUSSEINPO BOX 49798xCHICAGO IL 60649Reported: 09/1999 - 09/1999County: Cook rf4425andline:ed : 1977-1979 in CT(773)684-4809DOB: 08/04/1961 Age: 48

O B A M AB A R A C KSEN2152E 71ST STxCHICAGO IL 60649apReported: 05/01/1999 - 05/01/1999tCounty: Cook Landline:(773)363-1996O B A M AB A R A C KHUSSEIN 1440 E 52ND STxCHICAGO IL 60615Reported: 01/01/1999 - 01/01/1999County: Cook MapIt tr4425andline:ed: 1977-1979 in CT773)684-4809DOB: 04/08/1961 Age: 48Reports Name Address SSN / DOB Phone A R

7 . .-'.. 7.F E.. _ OBAMAB A R A C KHUSSEIN ,.1440E 52ND STxCHICAGO IL 60615Reported: 01/01/1999 - 01/01/1999Count ook

MapIt :

011.11114425Issued 1977-1979 in CTDOB: 08/04/1961 Age: 48

Landline:(773)684-4809 N

O B A M AB A R A C KHUSSEIN

365 BROADWAY B1xSOMERVILLE MA 02143Reported: 11/12/1997 -11/12/1997County: Middlesex MapIt MIB-4425Issued: 1977-1979 in CT N: . . . f . O B A M AB A R A C KH 54501 E VIEWPARKxCHICAGO IL 60615Reported: 06/1997 - 06/1997County: Cook MapI t 1111111-4425Issued: 1977-1979 in CT N- O B A M A

HUSSEINB A R A C K

54501 VIEWPA6xCHICAGO IL 60615Reported: 10/0'I/1994 - 10/01/1994County: Cook MapI t 4425tred: 19n-1979 in CTDOB: 04/08/1961 Age: 48 Landline:(773)684-4809 Nr 1:: f-: 1 2 1 O B A M AB A R A C KH 54501 SE VIEW PAxCHICAGO IL 60615-5942Reported: 06/01/1986 - 10/01/1994County: Cook MapI t 4425aliI s s u977-1979 in CTDOB: 08/04/1961 Age: 48 684-4809 N- _ _ = O B A M AB A R A C KH 5 , 150 S EA31 VIEWHE 1xCHICAGO IL 60615Reported: 06/01/1986 - 10/01/1994County: Cook MapIt 11111114425Issued: 1977-1979 in CTDOB: 0811961 Age: 48 NB A M AB A R A C K 54501 SE VIEW PA xCHICAGO IL 60615Reported: 10/01/1994 - 10/01/1994 MapI t 1111111114425ssued: 1977-1979 in CT Landline:(773)684 -4809 N


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Tracers Information Specialists, Inc. - Standard People Searchttps://www.tracersinfo.com/SearchCentral/viewreturn.php3?pargs=.,County: CookOBAMAB ARACK 5450 EASTVIEW PK 1xCHICAGO IL 60615R e p o r t e d : 08/01/1993 - 09/01/1993County: Cook MapIt OM425I s s u e d : 1977-1979 in CT N- .1.= - - ' OBAMAB ARACK 7436 S EUCLID AVExCHICAGO IL 60649-3626R e p o r t e d : 08/1993 - 08/1993County: C o o k MapIt 4111111114425I s s u e d : 1977-1979 in CT NLiBAMABARACKHUSSEIN 365 W BROADWAYxBOSTON MA 02127COSSIBLE HICI-I i- ;i::;;;)R e p o r t e d : 07/01/1991 - 07/01/1991County: Suffolk ,_M a pIt 14425I s s u e d : 1977-1979 in CTDOB: 08/04/1961 A g e : 48 Landline:_(/73)684-4809 NBAMABARACKH 5324 S KIMBARK AVExCHICAGO IL 60615-5287R e p o r t e d : 06/01/1986 - 12/1990County: Cook M apI t all14425I s su e d : 1977-1979 in CTDOB: 08/04/1961 A g e : 48 NBAMABARACKHUSSEIN 365 BROADWAY B1xSOMERVILLE MA 02145R e p o r t e d : 08/01/1988 - 09/01/1988County: Mddlesex M a p""a!'It 11111111114425I s s u e d : 1977-1979 in CTDOB: 1990 Landline:(617)623 1266' NOBAMABARACK

HUSSEIN

1 N NxCHICAGO IL 60615R e p o r t e d : 01/01/1988 - 01/01/1988County: C o o k

M ap''It11.111114425I ss ued: 1977-1979 in CTD O B : 08/04/1961 A ge : 48

Landline:(773)684-4809 N

OBAMABARACKH

N 1 NxCHICAGO IL 60615R e po r t e d : 01/1988 - 01/1988County: Cook M apIt all. 4425I s s u e d : 1977-1979 in CTDOB: 08/04/1961 A ge : 48 NOBAMABARACKHUSSEIN 5429 S HARPER AVE 1NxCHICAGO IL 60615R e p o r t e d : 10101/1986 - 10/01/1986County: C o o k MapIt 1 1 1 0 0 4 4 2 5I s s u e d : 1977-1979 in CTDOB: 08/04/1961 A ge : 48 Landline:(773)684-4809 N,OBAMABARACKH

5429 S HARPER AVE 1NxCHICAGO IL 60615-5548R e p o r t e d : 06/01/1986 - 10/1986County: Cook M a pM 'PI t I s su e d : 1977-1979 in CTDOB: 08/04/1961 A ge : 48 NReports am e d d r e s s SN I DO B


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Name OrderRecord?ssued ToolsLastastBirth DeathSNResidence BenefitViewim.! 1-1 01 1,ecriAtj ANT) NE, 1912 : 3 Sep 50140 (none998 (Lamoni,85-40-5 154 Iowaspecified)(V )o .tsc,i r t It1.,11(11.1.11I12)call) Imck Soarch Resultsttpilssdi.roolswcb.ancestr.comegi-binissdi,cgiWe!come to RcDtsWeh.romSearchesYour FirsL Nurne Yo ur L a s t N a m e . Your State .NationwideSocial Security Death Index Search Results85.156,742 Recordsfrlhe key to your researchlast updated on 9-28-2009Ihr most tall-featured SSDI search engine tin the interneField Valueecords ResultsSSN 485405154 1Viewing 1-1 of 1 First Name:Last Name:cParr

)=i 'Few) eport verified with a family member or someone acting on behalf of a family member.tl'i=t1 1 coo!') Death Cepirieatc Observed.You can now order he SS-.5 Form for deceased individuals directly from the Social Security Administrationonline at 1,:;;.!.. .v! el ((Iv. 1-1-Ak


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SO CIAL SECURITYCERTIFICATION

Pursuant to the provisions of Title 42, United States Code, Section 3505, and theauthority vested in me by 45 F.R. 47245-46, I hereby certify that I have legalcustody of certain records, documents, and other information established andmaintained by the Social Security Administration, pursuant to Title 42, UnitedStates Code, Section 405, and that the annexed are true and complete copies ofcertain of such documents in my custody as aforesaid.

I also certify that the annexed computer printouts showing the dates theinformation was recorded are true and complete copies of such documents in mycustody for Social Security Number 042-68-4429 in the name of Paul MichaelGraziano.


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U S A1 1 1 1 1 r 1

SOO/

Pursuant tc; the provisions ft) T;tie 42 United States Code. SectUn 3505,aiiitIO" vested a. me by 45 F.R. 4724: -T-40. hereby :.:ertify thatcustody t.. ce;rtain reCOrdS. CIOCUMeniS. other informztition estadhshed abcmaintained by the Sc:ial Sec.:witty Adr nistration. pursuant to We 42. UnitedStates Code. Section 405 and that tna annexed are true and compiete coniescertain cc : such documents in my custody as aforesa;c.

aisb utsrtf',' that the annexed comoutet printouts sbowind the darns the

nTn:man: mcr:Fcc,--J oro rota ary,lcoropet.e. ccibes ,. -)f such Seantscustody to .:SocJa; SacaTh :\ftintiber 3n3-5 -44a ) , ,e OrnaS em

no


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Year(s) Issued: 1 9 7 7 -1 9 7 9State Issued: Connecticut

SSN Verifier PlusSSN: 042-68-4425

Year(s) and State Issued

Social Security Death IndexSSN not found in Social Security Death IndexNames Associated With SSNOBAMA, BARACKOBAMA, BARACK HUSSEINDates of Birth Associated With SSN189008/04/196104/08/1961


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Look Up a ZIP Code MCities by ZIP CodeTM


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;so Ca d sta t aviss CousdsPosta) Om Stamp ft Merit

SELECTIVE SERVICE SYSTEMRegistration FormNEAP PRNACY ACT STATEMENT ON REVEASiPLEASE PPM CLEARLY

ropinur--"t x4,l emALEC i 'ERA LEMose140PIM 'Mt. NAMIEoe-A44intcurlew MAILING AMOR TO

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SOCIAL SECURITY NUMBER PREFIXESThese prefixes in dicate the state in which the Social Security Number was issued. Thiswill assist you in identifying the state in which the individual lived or was possibly born.This is a big help when you're searching the Internet. The prefixes are the first threedigits of the SSN. Here is the source of the SSN Prefixes:

New HampshireMaineVermontMassachusettsRhode IslandConnecticutNew YorkNew JerseyPennsylvaniaMarylandDelawareVirginiaWest Virginia -North CarolinaWest VirginiaNorth CarolinaSouth CarolinaGeorgiaFlorida

001-003004-007008-009010-034035-039040-049050-134135-158159-211212-220221-222223-231232233-236237-246247-251252-260261-267

&

&&&&

691-699

681-690654-658667-675589-595 &

LouisianaOklahomaTexasMinnesotaIowaMissouriNorth DakotaSouth DakotaNebraskaKansasMontanaIdahoWyomingColoradoNew MexicoArizonaUtahNevada

433-439 &440-448449-467 &468-477478-485486-500501-502503-504505-508508-515516-517518-519520521-524 &525 & 585526-527 &764-765528-529530 & 680

659-665

627-647

650-653& 648-649600-601 &


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. soc ia l secur i

Effective Dates: 06/23/2011 - PresentTN 2 (06-11)

RNI 10201 030 Structure of the Social SecurityNumber (SSN)

The SSN consists of nine digits, separated into three groups by hyphens (i.e.., 0004)0-0000). This sectioncontains a description of what each group of numbers represented in the Social Security Number (SSN),prior to June 25,2011 . Beginning June 25,2011 forward, this structure is no longer of any significance.NOTE: Information about the structure of the SSN is not restricted. Field offices (FOs) may respond toinquiries about the significance of the SSN structure and State allocations of area numbers.

A. SSN area numberPrior to June 25,2011 , the first three digits of the SSN represented the area number. The area numberreflected the State as derived from the ZIP Code in the mailing address the number holder provided on theapplication for an original SSN card.

B. SSN group numberPrior to June 25.2011, the middle two digits of the SSN represented the group number. The group number


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Affidavit

STATE OF I:1.01(10.A 1IS.S.C . 0 1 , , T N -TY OF DTI:70d1. Fclicito Papa_ am over 18 years old and resident of 7579 Walden Road, Jacksonyi:Ie.FT. 32244 with FL DI. 41'100-245-45-082 0. I do not suffer from any mental impairmentand can competently attest to the following under the penalty of perjury

I am a professional web developer having graduated with a bachelor's dcgrei inIT at inTechnical Institute in Indianapolis. IN.

2 I have over ten years of experience of web designs and development and haveoften used software such as Adobe Photoshop and Adobe Illustrator.

'2 I downloaded from the official Whitehouse websitc.itehousc. ,o,27. 201 I, the new birth certificate of Harack ()barna ILfitt7.,..wia, - w,whitetouscgsly "sitesde:fault tiles rss i, tewer/birth-eertiticaty,loat;-tcdt4 I observed that the birth certificate pdf file could be opened with Adobe Illustratorand the software revealed that this document has many layers of images on , t.This indicates that the document was not a true copy of the original birthcertificate. but a recently created document using Adobe Illustrator.I farther observed that this document does not have an embossed seal normallyaffixed by civil registrars to attest to the authenticity of government issued


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1 1 1 1 1 7 " 7 ",, C11 1 1)1'CERTIFICATE OF LIVE BIRTH.161 1 5 1


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0 .1P":.Affidavit

STATE OF FLORIDA )S.S.CO UNTY OF DUVA L)1. Felicito P apa. am over 18 y ears old and resident of 7579 W alden Road, Jac ksonville.FL 32244 w ith FL DL ilP 100-245- 45- 082-0. I do not suffer from any mental impairmentand can competently attest to the follow ing u nder the penalty of perju ry:

1 . I am a professional web developer having graduated with a bachelor's degree inI T at HT T ech nical Institute in Indianapolis, N.2 . I hav e over ten years of experience of web designs and development and have

often used softw are suc h as A dobe Ph otoshop and Adob e Illustrator.3 . I downloaded from the official W hiteh ouse website.www,whitehouse.go%. April27, 2011, the new birth certificate of Barack barna II:hrto;/jw ilVilesfrss_viewer/birth-certi.ficate-tom&4 . I observed that the b irth certificate pdf file could b e opened with A dobe Illustratorand the software revealed that this docu ment has many lay ers of images on it.Th is indicates that the docu ment was not a true copy of th e original birthcertificate, bu t a recently c reated document using A dobe Il lustrator.5 . I furth er observed that th is document does not hav e an embossed seal normallyaffixed by civil registrars to attest to the auth enticity of gov ernment issued


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SIAM OF HAWAII DEAIIMAINI Of NI1-76461 10611ERTIFICA TE O F LIVE B IRTH""WAM 151Tyr 16 614446. "mooarr.

Two twrortaao Lbaild herrit

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'-ahu

1 4. 7 . 1 Z = T v i . 1 N1A A , " . 1 (h.... .1

6005 Kal an 1 anaois gig ray,ranliapiciani Maternity 4 Gynecologi rid Licepi talNe .. ci...Hon cit. lu)all11.. .p . .1ssmol.m. .14 r r 110011 NW..as s1e ro re Weil N.A. Or ow taro hook.'brit.BARACKtinSi1iNB Wile ..16.. 41 LeohpetarIS.ral25olly*, Emt Africa..rtuc er t- 13 T.N Nrlb. 6m. of Week..

TAKLETN Natar odMae' 145IlrabOwafro ROW of Farr.African111, lira' M nouns.University'4 4 Nuae a %W.Gaucasiar.at Owerrara4Any Hr..rvoryar...

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AFFIDAVIT

STATE O F FLO iUDA ))S.S.COUNTY OF D VAL)I, Felicito Papa, am ver 18 years old and resident of 7579 Walden Road, Jacksonville, FL 32244 with FLDL 4P100-245-45-0 2-0. I do not suffer from an y men tal impairment and I competently a ttest to thefollowing under the enalty of perjury:

I. I ama prof ssional web developer having graduated with a bachelor's degree in IT fromHTTechnical 1 stitute in Indianapolis, IN. I have over ten yea rs of experience of in web designs anddevelopme t and I have often used software such as Adobe Photoshop and A dobe Illustrator.

2. On April 1 , 2010. the Whitehouse website, v,rww,whitehouse.gov , released the 2009 Form 1040of Income ax Return of President Barack H. Obama:http://www whitehouse.gov/sites/default/files/president-obama-2010-complete-retum.pdf.

3. I downloa d this 65-page pdf file on my computer. I observed that all information about thepresident's he first lady's social security numbers were redacted. All blocks or spaces forsocial secu ity numbers were blank, or "white-out."

4. 1 submit Ehibit A (attached herewith, page 43 part of 2009 Form 1040) Form 709 U.S. Gill TaxReturn o f Ifres. Barack Obama. T he spac e for his so cial security number is red acted or blank.

5. I submit to Exhibit B (attached herewith, page 49 part of 2009 Form 1040) Form 709 U.S. GiftTax Return of First Lady Michelle Obama. The space for h er social security num ber is redacted orblank.

6 . Then thro h Adobe Illustrator software, I opened Exhibit A and B and found that these two pdf


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' W AS HI NGTO N , D T . 2 0590 UNITED STATES'Yes No

!$ . S " ,, - 7 , 1 0 It':0-4 0 .

U .a .

Date Pl..23

ie -- er 3.145,?3,)0.

f f f . f 45,800.

United States Gift (and Generation-Skipping Transfer) Tax Return

Ito See sepatite nstruct;ors. 2009' 2r S S O C al securty ^umberC}iELEL- . ) B A M A44=s1A6,46 . 2t, 47LA ? . E N U E , N WLLINOIS-. . _ ..,_ ," :-7:! "7".5.::"; :,1:: ":'1." . . _ ; E..' t.::: - 'm;, :.:t-..l 73. ni ty rri:Stare "."*t 4 t... 's'. ; C ;all es. 7 - .-__e -1 . 1 1 - J.t. 'fle-5 .'" ,1 - ; Je7er::;:;--- s p.L' -; 17,. -.Y.:-;:l....)e. 1. .-- . J - 7;1.. -,.;..- _se!: -,' :.-_ - , .,r s !..: - ...; - .2 .., , ,::,,: ..!.::: 7 ., - i 5f7t:..1 47, 7::.-..., e-"al '..." ,.:!:!:t ,'. - ,J 1 - F .t .t . - S:;, ., :: ' ,, :":",t lk,...:sitt.r s.-:. ' "., '... , :t ; -,k-,--,- . 7 :7; :: - - - ,`` ,-fJ .7 - -7 . 7 .1 ,,, 7 , :. ! - : ' ,7- ,'- .:-.7"F. ,!,"..inc.,A , ' , 7 + + ! , ' : , t i ,the answer A 940 , 1 ss'o. 3 - '5 Ind ;7, id S: th e IX5 ABACK H. 0 ! B A M A'4 I: XIV , I3 , ,_ ! . r ei l l "

+7 .., ' ,? ;!1:::!. - ey 77 r : ':'fl C-. . -itl

i Gonsentng spouse s sat'e le

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745810:. 1 ., -.- .e.J .''J:-- --..;:e ::; ..-;; e e : - ;.' - ;;;::: - F .77-;7 3;7 09- S . - 4 ;trsar-se:1 1 . 1 .15. .1.. ? 2 , , R , 7 t . t , - .,- rl. " - " "


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eft

,_ 709 United States Gift (and Generation-Skipping Transfer) Tax ReturnO P S e e s e p a r a t e, . s t r ,. , , t t . h h e 2009I., AP.ACKi. ;,L :1 - :1-:.a:... - :, -- 1 .i! 0 BA,MA L'onor s s o t ' 1 4 s e c u r , t y m o r s P e rii4254 -,,taI 6 0 0' E2IN .Fi Y L V . L . 1; ;. a - . . . .-?: it- - 'i.I A"AYE N i; E , NWLL:NOISiWAS H ING T014 ,C 7'., ":.al - s - p .sFt20 5 s : ) , 0NITED STATES- "-. __.. ,r--.''.,::2. ; :Yes , No--0-- 3--:-:' 2

-5 - -e- : .- . . . ......,5__71E; 5 1 ;- E - ,:t: : "::',,:j: E i . .E.E'Et' -'' , - . '-ri4-2 X. Xf12i.ta oy notbar.a a! w 'e '2 . ,I:-'- ;;-.- E 5.: -j -- . .. -5E - -, ::0 ' . . . . _-- ."'--1. anti;o :o -t1'1!J tft! orves.,0t., _ .. . , . .'9 : - ..ee ; 0 4 .;c ,...: -2 :It - sr:iv_ --,.:. -,:c -2 - - - 0 . ` , ; . , . a _ 0 - c ' t , -..1a - C;:,- 7 7 ,. : . 2 - 7 - 3 '.. --:arrE : -..1:--1:as- 1 ,, : - -- -a 1 7. :a:" :I .:u 7t. :i"rJr.'.: - E ,e 2 - a-45-- - 1 : .-:'-' -' r- ..2-'C1 ,"--;-, 7,:s ....'le - ;:.1 E ' ; , 7 , , - - _ - , e:-. - -sert .,,.., t:, ,:,,t t h e a n s w e r , a -sr e. sk , plie A i H3,... , ..._, , - , . . . . . e MICHELL.e..BAMA 14;;S;i 3541 46.0.thi3112- 1a . . X1'65;:.' _ - fr., - .0'-e0 lyr,enl'7.1. 2 E t '.3.; -.fl:'-' ':';'..- .7. ,-2; E: i ' , e0.' 0, ..:,r 51 - c,;E:?",EF --a ,:t- ,st.J.- s ! . . . h . . . 5.ar,5 ..r...::ph., --"; ""-" - ; -,- 7 " -...'

I ConsentIng spouse s si 1 0 X . ''';:: cia o e t ? - .. ' . a . - 'y :ia:a..:55 . 7 . . ` , 7 :1:21es 7 ., '+ ' , ; -^i _ a .a"Tar-' f ....''',./ ze .ye . :f 4.'e ---',.- zi it''.'Sralat:-.. ":r 'ai .:ri' , ateo 0-, ni----..s.c.,t.n.7 :t 7 , 5 lc -..5,entC ., --i.6 . 4,2--a4 0 1 -et,ate s - 7-1(2f; -_Cmao

-13r.1sVf, .1.-:.;L 'ls':1 :",''1-11::;...'5:i!. - e " : . .0 e- a i . . e '' : -- n . . . . . ' 0 ' 1 : , : . . . : r , . 2 : s r: 'a. ,:..t:21 --s l ' e5 1 . ... , : - 5,' 3., iiicirif.. ` c . e - c: ^-;:,_ - g "": nt -7 E -.. E t 'a r a r r I t e, -.7,..:*: -i._ va - Ii 4 - 555.5.7..- . , , E - . . _ , . . . ,'E.,' . ,2:::" & 7_ ,-. , :r a" :.:' , . . . L ' s , ra--. : _ : . _ -.'." ::.. ,;is ;,..,,.i.,45,800.;45,800.s 345,800.


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United States Gift (and Generation-SkippIng Transfer) Tax Return

to . Ste se; ratestTor ! :orts

B

709-A 1. 7 1 2 - ' 1 . O 1 r .

0 '0 P ENN S V AC A .A

AENE NWI 20093 7.';rr s sot ti set.' ty ;tyrte

5:LL INOIS1 .7 N .1 TED STATES2 ." F: ' , - II: f es o.____- z i',.-"--.:'-. -,.:-- . , _ - .1 0 ;

X

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5

sti; ,f ::11.-' ---_- :-.:;-,,,_:: s ::;,.:,t- s-s:,_.tr .,,-;,..-; ; : :_7 '2 : -.:..f' ts_, '-':;f ..,...-...- ---.. ,f...12,144-01.--2, 1tls--,,,,r r,,,_ ,r ,..n. ip 2 s clio..t1.i 4 . ,r '.*-. r. - :,: ,-/0...r.1 -5 0 .

34 5, S00.

1 345, 8C0.


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2


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Although original birth certificates (Certificates of Live Birth) are preferred fortheir greater detail...." (http://hawaii.gov/dhhl/applicants/appforms/applyhh1)6. On April 27th, 2011, Barack Obama held a Press Conference announcing that hehad attained what he said was a photo copy of his original, long-form Certificate ofLive Birth and had posted it on the White House Website.(hap ://www .whitehouse .gov/sites/default/files/rss viewer/birth-certificate-long-form.pdf)

7. The posted document is clearly typewritten, or a facsimile of typewriting, not"written" or "half typed, half handwritten".(http://www.whitehouse.gov/blog/2011/04/27/president-obamas-long-form-birth-certificate)8. The Governor of Hawaii, Neil Abercrombie, told the Honolulu Star Advisor thathis research showed that Obama's original Long-Form Certificate of Live Birthwas handwritten. "Q: You stirred up quite a controversy with your commentsregarding birthers and your plans to release more information regarding PresidentBarack Obama's birth certificate. How is that coming?A: (Abercrombie said there is a recording of the birth in the State Archives and hewants to use that.) It was actually written I am told, this is what our investigation isshowing, it actually exists in the archives, written down."(http://www.staradvertiser.com/editorials/20110118 This is a collaborative ende

3


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Health, of Obama's original long-form Certificate of Live Birth. Bauer explained,in detail, the difference between a short-form computer generated Certification ofLive Birth, an abstract if you will, and what they say they revealed on April 27,2011, a photo copy of Obama's original, long-form Certificate of Live Birth.Bauer stated that this 1961 original Certificate of Live Birth was kept in a "boundbook" at the Hawaii DOH. Bauer explained that Obama's lawyer, Judith Corley,flew to Hawaii and brought the documents back to the United States. At the samepress conference Dan Pfeiffer told the gathered Press, "What you have in front ofyou now is a packet of papers that includes the President's long-form birthcertificate from the state of Hawaii, the original birth certificate that the Presidentrequested and we posted online in 2008, and then the correspondence between thePresident's counsel and the Hawaii State Department of Health that led to therelease of those documents." (http://www.whitehouse.gov/the-press-office/2011/04/27/press-gaggle-press-secretary-jay-carney-4272011)11. These documents were posted on the White House Website on April 27, 2011,as evidence of the steps Obama took to attain copies of his original long-formCertificate of Live Birth;a. A letter to Hawaii Director of Health Loretta Fuddy, dated April 22, 2011,wherein Obama asks for "two certified copies of my original Certificate of LiveBirth".b. A letter from Obama's lawyer, Judith Corley, dated April 22, 2011, to Loretta

4


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Fuddy continues, "Enclosed please find two certified copies of your originalCertificate of Live Birth. I have witnessed the copying of the certificate and attestto the authenticity of these copies."12. On April 27th, 201 lthe Governor of Hawaii, Neil Abercrombie, put out a pressrelease supporting Fuddy's actions: "In 2001, the Hawaii State Department ofHealth began computer-generating vital statistics records. Since then, itslongstanding policy and practice has been to issue and provide only the computer-generated Certifications of Live Birth, and to not produce photocopies of actualrecords to fulfill requests for certified copies of certificates. ....Director Fuddymade an exception for President Obama by issuing copies of the original birthcertificate..." (http://hawaii.gov/gov/newsroom/press-releases/hawaii-health-department-grants-president-obamas-request-for-certified-copies-of-long-form-birth-certificate)

13. In the same Press Release Hawaii Attorney General David Louie stated that,"The exception made in this case, to provide President Obama with a copy of hisoriginal Certificate of Live Birth, was done according to the letter of the law."14. The document Obama posted on April 27th, 2011 on the White House Websiteis a computer generated document with multiple layers(http://www. scribd.com/doc/58721290/0bama-B irth-Certi ficate-Final-Affidavit-of-Douglas-Vogt-J une-24-2011-Total-of-9- items-now-listed).

5


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SignedLinda Jordan

president-obamas-request-for-certified-copies-of-long-form-birth - certificate, andphone conversations)I declare under penalty of perjury, that the above is a true and correct statement ofthe facts.

In the city ofeattle Washington

Dared thetheitj\l\ day ofAAAJanuary012


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Self ChecNotice of Mismatch with Social Security Administration(SSA) Records

d).111(11

Bring this notice with you when you visit SSA.For SSA Field Office Staff: Do not use EV-STAR; See POMS RM 10250.000ff

(Thalia Rarack HName of the employee Last Name, First Name,M I)08/1 //2011Date of Mismaten

042-08-4425Employee's Social Security Number (SSN)2011229111431GYCase Verification Number


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IfERTIFICATE OF LIVE BIRTHEar,131. 10611,-",'

REsELLERS OF'HoDLC !ON DOCUMEN7 SCANNERSWOE-FORMAT SCANNERS

CRESS SCANNERSEASED DOCUMENT 1MACiNG SOFTWARE

T -,,CANN!NS SOf TWAPT

THEREPOSITORY T MARCHIVE INDEX SYSTEMS, INC.

TEcHNoLoGiEs TO EXPAND MAN'S KNOW, EDGEP.O. Box 40135

BELLEVUE, WASHINGTON 98015(425) 643.1131; FAx (240) 384-7297

For response to this !otter:

WEB PAGESwww.arshiveirdex.cornwww.whoiesalecheckscanners.cem

May 22, 2011Revised and Expanded Affidavit

I, Douglas B. Vogt, and over 18 years old, do not suffer from any mental impairment, have personalknowiedge in CnC ibilowing and attest Ltllcler penalty ol perjury that I have knowledge and expertisein documents, imaging, scanners and document imaging programs. Based on my knowledge andexpertise the following is true and correctMy CredentialsI have a unique background for analyzing this document. I owned a typesetting company (NovaTypesetting) for II years so I know type and form design very well. I currently own Archive IndexSystems since 1993, which sells all types or document scanners worldwide and also developeddocument imaging software (TheRepository). I know how the scanners work and their capabilities. Ihave also sold other document imaging programs, such as Laser Fiche, Liberty and Alchemy. 1 havesold and installed document imaging systems in city and county governments, so I know theirprocedures with imaging systems and everything about the design of such programs. ibis will beimportant in understanding what has happened with Obama's Certificate of Live Birth. I also have agood working knowledge of Adobe Photoshop and Illustrator.

What I Discove red about Obama's Certificate of Live Birth and why it is a Forgery.


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What the Obama administration released Is a ppi: ima u e that thc,, a re trying to pass Ott as aCertificate Live Birth Long Form printed on green security paper by the County Health Department,but this form is a created forgery:. Ironically the country has a lot to thank Mr. Donald frump andMr. Jerome Corsi and his new book, because they made President Obamas birth certificate a publicissue which in turn forced the White House to produce this forgery to answer both of them. TheObama (Certificate of hive Birth bong Form is a forgery for the following reasons.1. Curved and non-curved type. [he image we are looking at was scanned in grayA:alc and somepart in binary which cannot he on the same image. 1 he reason I know this is because of theshadowing along the gutter (left-hand side) is produced by scanning in grayscale. It also means thatthe county emploN cc who did the original scanning of all the forms. did not take the individual pagesout of the post hinders. The result is that all the pages in that book display a parallax distorted tillageof the lines and type. 'They curve and drop down to the left. If you look at line 2 (Figure 3) on theform that says Sc . ,: von will notice the letters drop down one pixel but the typed word Mule does not..Also notice the line Just below :116//e drops down 3 pixels.

sexMaleMI.M.MOIMMPlace of EliFi gure 3. Line 2 of the form. Baseline differences.


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1:1 1 r i V + . 7 . 1\lcZit0;,1

is Times Roman but they could never replicate the exact design. They were stuck having to useexisting forms that were scanned in using binary and grayscale.

Plume of F l o s p i t a l -Kapiolani

frip7ilsual Reid enee o:Figure 4. Line Sc at 500%. The typewriter name of the hospital does not drop down 2 pixels.2. There is a white haloing around all the type on the form. Figure 5 is an example of this. Thiseffect should not appear on a scanned grayscale image. Figure 6 is a grayscale image scanned in at240 dpi. You will notice that there is no haloing effect around the type and also the security patternis seen through the type. Figure 7 is a color image where you can clearly see the security green colorthrough the type and no haloing. Figure 8 shows a Black and White (binary) image of the same type.The important thing to remember is that you cannot have grayscale and binary on the same scanunless the image is a composite. This means that different components of the whole image are madeup of smaller parts. Figure 9 is an enlarged version of Figure 6 showing what grayscale lettersshould look like compared to binary.Ngmc (Type or pint;

A rI/0.1011

B A ! : A C K


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Figure 8. Binary image. Figure 9. An enlarged version of Figure 6 showing grayscale type.C..1"/,1.1.1 PiT1

,151 1Ili 't7

!I& C M L..4 I Y1 -- ...Eli' ,,,

background and instructed the program to bring the type - forward - it blanked out the backgroundimage, hence' the halioing effect around the type.

URN. NC) RECEIPT NE61155A R.

SECURITY PACIIVentura & Sepulvel1 5 1 6 5 V e n tu ra B o uS h e r m a n O a ks . C a


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As stated in i the last - 1" on the form is a grayscale image but the rest of the numbers Lffe not(Figure 14), again irrefutable proof that the Certificate number is a composite of two numbers andhence a forgery. This forgery comes under a separate offense and carries with it 5-years in prison!see Appendix D: Title 19, Ch.47. Sec. 1028(d)11.

The facts 1 have shown you in 43 and 4 tell me several things about how this forgery wasassembled. 1. Some person(s) in the Health Department. who had access to the document imagingprogram_ searched the database Ihr someone close to the actual birth date of Ohama and foundsomeone near the 4th of August. if in fact he was born on the 4 0 and we should not assume that at all.()Hama may have chosen the 4 of August because they had a baby who died close to his date ofbirth. The clerk may have crossed referenced the death database to find someone who had died andhad a birth date close to Obama - s. It has been reported that an infant girl named Virginia Sunaharawas horn on August 4. 106 at Wahiawa I lospital in Wahiawa. Oahu, 1-11 who died on August 5.1961 at the Kapiolani Women and Children's Medical Center, due to complications. This happens tocoincide with date of birth and birthplace of the Nordyke twins. We could make two assuming here.The first would be that the Wahiawa I lospital would have filled the COLB form as customary andmailed n to the County I Iealth Department and the Kapiolani Medical Center would have filled outthe death certificate. The other less probable would be that her medical records were transferred toKapiolani Hospital and they would produce the birth certificate and later the death certificate waslater included in the group of birth certificates that contained the Nordyke twins.

Hie Federal Government wanted the States to cross reference the birth and death databases so thedatabase would have that information. The date stamps have two different colors and sizes (see f5below) which indicates that both dates came from different Certificates. We can conclude from thisthat more than one person was involved in the Hawaii Department of Health to assemble thedifferent components that were used and also do the database searches to find the right Certificatesto create the fraudulent Certificate of Live Birth and finally someone who signed the fraudulentcertificate. 1 believe that after all the components were assembled they vere then given to a graphicartist to actually assemble the whole thing and create the finished forgery. That graphic artist couldbe located anywhere. In short. this was a multi-state conspiracy to defraud the United States.5. Two different colors and font sizes in Formbox 22 and 20 Date Accepted by Reg. General.


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2 2 1 0. ntedFigure 15 Two different colors, dark green and black.

The same thing is found in form box 20 "Date Accepted by Local Reg." Figure 16 again showsthat the date has two different colors. The "AUG -8 196" is in dark green (R=87, (i-111, B-87) andthe "I" is in black. Yet again another irrefutable proof this form is a forgery. Form box 17a displaysthe same. two color image in the word "None". The "Non" is in dark green.20. Date Accepted kty lead Reg.Figure 16. Another example of two colors on the same line.6. The official seal is not part of the Certificate of Live Birth. The Hawaiian law (Section 11-1-2Seal of the Department of Health) states:

a) The official seal of the department of health shall be circular in shape, two and one-fourth inches indiameter. At the curve on the top portion there shall be the words "DEPARTMENT OF HEALTH" and atthe curve on the bottom portion there shall be the words "STATE OF HAWAII." At the curve on eachside portion shall he a star. In the center of the seal shall be the Caduceus, a winged rod entwined with twoserpents, which has long been recognized as a universal symbol of medicine. The Caduceus shall beencircled by an indentation, which shall separate it from the words "DEPARTMENT OF HEALTH" and"S FATE OF 1 IAWAII ."


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-r for Theved Filing or AIlergnol

distort the type and tines on a form and is clearly visible (Fleure 21). Fven on the NordykeCertificate (iigure IS) in spite of it being an inverted image from a microfilmed image, it is clearlyseen. Figure 19 shows Obama's seal on the COI.B presented on April 27. 2011 is visible onlybecause a color filter was used to see it. otherwise it completely disappears in the design of thesecurity paper (Figure 20).

Figure 20: Seal on Obama's Figure 21: Hand stamped seal fromCOLB From April 27. 2011.n original COLB from 1962.- l'he official seal on the ()barna COLB is a second or even third generation image from another

form. The seal embossing did not distort the lines or type on the form and it most likely was neverpart of his Certificate. Yet another indication this Certificate of Live Birth is an obvious forgery.7. The hand stamped certification from the current registrar is a forged stamped notice.

The Department of health has the right to produce a legal copy of the original Certificate of LiveBirth to people who have the appropriate right to receive one. The Clerk in the office would searchthe document imaging database and retrieve the correct Certificate. The Clerk would then print outthe Tiff image on the green security paper. They would then take a rubber stand that states thefollowing: i CERTIFY THIS IS A TRUE COPY OR ABSTRACT OF THE RECORD ON FILE IN THE HAWAII STATEDEPARTMENT OF HEALTH. Then below this notice would be the likeness of the State Registrar'ssignature, in Ibis case it was Alvin T. Onaka, Ph.D. 'Fhen the clerk would stamp the date to the left


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the graphic, artist to look as straight as possible. The only problem is that no hand stamped noticelike this would be placed that pertect on the page.

APR'(J 11Figure 0 3. Obama's Registrar stamp with the errors on it,Figure 24. F!arc:intent of the "TXE."Other investigators have mentioned what looks like an italic "E " under the capital A in Alvin. In

Figure 22 the same artifact does not appear. We have to assume either the artifact was already on thesecurity image the forger used, and forgot to erase it. or it was placed there deliberately for somereason that we don't know yet.8. Multiple layers in the PDF file from the White House. I am not the first one to find this factand they deserve the credit for discovering it. What they discovered is that when you open up thePDF file in Adobe Illustrator and you turn on layers, you see a long list of nine different layers thatcorrespond to different sections of the form, including the signatures on the form. Figure 25 showsthe laver that contains most of the Typewriter and form text.

I discovered using just my Adobe Acrobat 8 Standard that I could also see the differentcomponents disappear when I enlarged the image to just 400% and used the "hand" tool to quicklymove around the image. When I moved the image fast, the various type components woulddisappear from the form but the lines stayed just as I had concluded.

I also opened up the White House PDF file in WordPad so I could see the codes and headers in


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O e L;4S.IFiat,e.Dec000.;imE:geM osk truelBJsre7 Compo ner2.(Height 27411ypniXObiect>>sIreaTT1 7'33/F:e.: /HateDecodei i inage'ev lask true./Bi tsPe7Componeli t 1iWidth 123!Height 228/TypeiX0o ; ecl>>siream18 0 oh;436'=, ter , 'Flatef2eco de i lmageM sk. trueiBt isPe iCompo nent7 H e ight 21 6 iType /X0* :c t>>s irearn" " 9 0 o b i


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A Rebuttal to the Discovery o f the Mu lti Layers Found in th e PDF File.The only rebuttal to the nine layers discovered in the PDF file released by the White House was astatement from a Canadian graphic artists from Quebec by the name of Jean-Claude Tremblay , onApril 29. It was reported by Fox News and on their web site at:

He tries to excuse the multi-layers as merely an artifact of an OCR (Optical CharacterRecognition) engine and then saved as a PDF. There are two major reason he is wrong and 1 knowfrom his statement he knows nothing about OCR engines and how they work and their file structure.First of all the Obama PDF certificate was supposed to have come directly from the HealthDepartments office. As stated before, the records they have would have absolutely no reason to heOCRed and if they were asked to give the customer a PDF image it would he from their existingTIFF imatge stored their document irnaging program on the server. 'Hie program would have doneno OCR processing at that time.

My qualifications on OCR programs are considerable. Our own document imaging program,TheRepository, has an OCR option from Expervision that is called TypeReader. We integrated1)/peReader into our program but to do this we had to sign a non-disclosure statement with them andthen we got their Took Kit and API. When an OCR program saves a file as a searchable PDF, thefile contains three main files within it. The first file is an image file, usually a compressed Group=(TIEF. The second file is a ASCII text file and the last tile is a matrix file that contains the X and Ycoordinates of all the words in the document. The Starting point for the image file and the matrix fileis us'ciily the upper left hand corner of the image measured in pixels. The text file and matrix fileswould never be seen as separate layers and there is certainly no nine layers. The three tiles would bein a PDF "wrapper" and that's all. All OCR programs work on the same principle.ConclusionThe Certificate of I,ive Birth Obama presented on television on Aril 27, 2011 is a forgery.

In witness whereof he has hereto set his hand and seal.

orrpoDuciioN ii,ociumi NI .-,C.",NNLi+..tiOPMA1 -CANNFHS

TII RE , POSI OR T rARCHIE INDI X SYSTEMS, INC.

;;AGING TECHNOLOGIES TO EXPAND MANS KNOVt EDGFBar:

WEII PACES,,,,ww.archivorndPx corm

wwwwholosalecheckscanners corn


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CERTIFICATE OF LIV E BIRTH '5 . i- taci t

tornmut co.uvit srorrric rIr1 W2.".rir

.0,4 s ,t e11146 .-latordtplsrpetal011*Vmprup---...late) lama AO.

'

OATS ill *6*m

i - BASF U 00r.tiMr.N IMAGING SO iVJAP::::',ANN!NG- BELLEVUE. WASHINGTON 98015(425) 643 1131; FAX(240) 384-7297

Fur response to this letter:

Nilay 10. 2011Affidavit1_. Douglasouglas B. Vogt, am Over 18 years old, do not suffer from any mental impairment, have personalknowledge in the following and attest under penalty of perjury that I have knowledge and expertisein documents, imaging, scanners and document imaging programs. Based on my knowledge andexpertise the Ibllowing is true and correct

CrecientioisI have a unique background for analyzing this document. i owned a typesetting, company ibr 11years so I know type and form design very well. I currently onArchive Index Systems since 1993,which sells all types of document scanners worldwide and also developed document imagingsoftware (TheRepository). I know how the scanners work. I have also sold other document imaging

OgraillS, such as Laser Fiche, Liberty and Alchemy. I have sold and installed document imagingsystems in city and county governments, so I know their procedures with imaging systems andeverything about the design of such programs. This will be important in understanding what hashappened with Obamds Certificate of Lire Birth.


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1. Curved and non-curved type. The image we arc looking It was scanned in grayscale and somepart in binary which cannot be on the same image. l'he reason 1 know this is because of theshadowing along the gutter (left-hand side). It also means that the county employees who did theoriginal scanning of all the forms. did not take the individual pages out of the post binders. Theresult is that all the pages in that book display a parallax distorted image of the lines and type. Theycurve and drop down to the left. If you look at line 2 (Figure 3) on the form that says Sex you willnotice the letters drop down one pixel but the typed word Male does not. Also notice the line iustbelow Male drops down 3 pixels.

01101.....1=116101MOMONVIO.sexMale

sB I B Ls1 .110 .111 ISOM

Place of DiFigure 3. Line 2 of the form. Baseline differences.The second incident of this parallax problem is seen in line 6c Name of llo.spilal or histilmion

(Figure 4). The word Nome drops down 2 pixels, but the typed hospital name, Kapiolani, does notdrop down at all. And again the line just below drops down 2 pixels, but not the name Kr/pluton/.

Natite of Ilompititi

111s1.01.1


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1960s there was no phototypesetting and this form was set in hot metal from a linotype machine.fhe type design is Hines Roman but they could never replicate the exact design. They were stuckhaving to use existing forms that were scanned in using binary and grayscale.2. There is a white haloing around all the type on the form. Figure 5 is an example of this. Thiseffect should not appear on a scanned grayscale image. Figure 6 is a grayscale image scanned in at240 dpi. You will notice that there is no haloing effect around the type and also the security patternis seen through the type. Figure 7 is a color image where you can clearly see the security green colorthrough the type and no haloing. Figure 8 shows a Black and White (binary) image of the same type.important 11-6112, to remember is that you cannot have grayscale and binary on the same scanunless the image is a composite. "[hat means that different components of the whole image are madeno of smaller parts. Figure 9 is an enlarged version of Figure 6 showing what grayscale lettersshould look like compared to binary.Name (Type or print)

A. This Birth

[Sinotle 1 1 4 Twinriplett"'Figure 5. Obama's formigure 6. grayscale.IJRN. NO RECEIPT NECIESSAR Figure 7. Color image.S E CU R IT Y P A CT !V e n tu ra & S e p u lv e l1 5 1 6 5 V e n tu ra R o cSherman Oaks. Ca


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Another example is found in form box 1 a. his name BA RAC K. For some reason the "IC is agrayscalc image and the rest is binary (Figure 11). That means the "R" was originally on the formand the rest was not until it was added.B A A C KFigure 11. Another example of grayscale and binary on the same line.

Another example is the Certificate number itself (Figure 12). The last "1" on the form is agrayscalc image but the rest of the numbers are not. This is just another example of a cut and pastjob. It also means we do not know what the real Certificate number is if there even is one. There areother fOrm boxes that display the same feature, boxes: 51), 7e , 1 I, 13, 16, 18a.

ARTMENT OF HEALT

81. 106.1Figure 12. 'Hie last "1" is grayscalc. but the rest are binary.4. The Sequential Number is a fraud. I would like you to refer back to Figures 1 and 2. You willnotice that Barack ()barna was supposed to have been born on Friday at 7:24 p.m. August 4, 1961and the local registrar accepted it on Tuesday August 8, 1961 and hand stamped the Certificatenumber "61 10641. - Then notice that the other Certificate of Susan F. Nordyke was horn onSaturday at 2:12 p.m. August 5, 1961 and another registrar date stamped it on August 11, but herCertificate number is "61 10637." Keep in mind there would be only one bates stamp machine in the


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assembled they were then given to a graphic artist to actually assemble the whole thing and createthe finished forgery. In short this was a conspiracy to defraud the United States.5. Two different colors and font sizes in Form box 22 and 20 Date Accepted by Reg. General.What is very revealing about this box and date entry is there are two different colors on both lines.Both lines xvere scanned using binary mode. but I see two different colors (Figure 13). What I thinkthis is showing us is that the person who put this fraud together was looking for a form that had theright date namely "August 8 19_1." As you can see the only things that are printed in dark green(kr 71. 0=92, B=73) are "Date A" and "AUG -8 6." The rest of the type is in black. This tells methat the forger was working in color mode.orWCF 114011 the s - i - a r n - p - - n s e e l - in box 20-. This 4s ttniikely been.: -would have(Lte: -inoth-r-laees- and sign the fOfft -incewe have two site lettem and numbers, that means thes(--- elements were taken- fFe+w two scparatif\

colits that22.Figure 13. Two different colors, dark green and black.

The same thing is found in form box 20 "Date Accepted by Local Reg." Figure 14 again showsthat the date has two different colors. The "AUG -8 196" is in dark green (R-87, G -111 andthe "1" is in black. Yet again another irrefutable proof this form is a forgery. Form box I 7a displaysthe same two color image in the word "None". Ihe "Non" is in dark green.

N. Date Accepted by Ica' Reg.


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He tries to excuse the multi-layers as merely an artifact of

Documents

2012-1-26 Farrar v Obama Exhibits 1-7