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The document is a federal complaint form filled out by Winnie Chan from New York. It provides her personal details like name, date of birth, address, and contact information. It also includes details about a package shipped via FedEx that is under investigation.

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laud0390
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29 views1 page

Form

The document is a federal complaint form filled out by Winnie Chan from New York. It provides her personal details like name, date of birth, address, and contact information. It also includes details about a package shipped via FedEx that is under investigation.

Uploaded by

laud0390
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FEDERAL BUREAU OF INVESTIGATION

COMPLAINT FORM 2022

NAME WINNIE CHAN .


first last

DATE OF BIRTH 12/05/1962 .

SOCIAL SECUIRITY ACCOUNT 110-74-0605 .

List of all other name you have used including nicknames and maiden names if you have ever use any
surname please indicate the time period this occurred and describe the circumstances you legally changed
your name please list the date and the court

Current address 86-4657 RD ELMURST. NEW YORK .

Zip code 11373 .state . NEW YORK .

Mobile phone +13474625451 .email WINNIEC962@GMAIL.COM

Goods CONSIGMENT BOX .

Shipping company FEDEX .

Agent F.A NICHOLAS DAVID .

Purpose BOX INVESTIGATION .

NOTE. this must be completely filled and submitted in 24hr after purchase

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