PS 40 - NOTICE TO THE U. S. DEPARTMENT OF STATE REGARDING UNITED… — United States of America v. Breckenridge (Dkt. 23)

Summary

A Form PS 40 Notice Regarding United States Passport for Criminal Defendant, dated 06/29/2022, in the Southern District of West Virginia, to the U.S. Department of State from Codie P. Blankenship, with a signature block reading By: Codie Blankenship, USPO. It names Malik Breckenridge as the defendant, with Case Number 2:22CR00084. Under Notice of Court Order (Order Date: 05/04/2022), it states that the defendant is not permitted to apply for the issuance of a passport and/or passport card during the pendency of this action. It states that the defendant surrendered a passport and/or passport card to the custody of the U.S. District Court on 06/28/2022.

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Record facts

Full text

Case 2:22-cr-00084 Document 23 _ Filed 06/29/22 Page1of1PagelD #: 64
PS 40 (Rev. 10/14) Notice Regarding United States Passport for Criminal Defendant

UNITED STATES DISTRICT COURT

for the
West Virginia Southern

NOTICE REGARDING UNITED STATES PASSPORT FOR CRIMINAL DEFENDANT

TO: U.S. Department of State FROM: Codie P. Blankenship
CA/PPT/L/LA 1200 U.S. Courthouse
44132 Mercure Circle 300 Virginia Street East
P.O. Box 1243 Charleston, WV 25301-2523

Sterling, VA 20166-1243

Fax (202) 485-6496
Email: CA-PPT-CourtOrders@state.gov

Original Notice [_] Notice of Disposition
Date: 06/29/2022 Date:
By: Codie Blankenship, USPO By:

Defendant: Malik Breckenridge
Case Number: [0425 2:22CR00084]-[001]

Date of Birth: P|

Place of Birth: Charleston, WV, United States

Notice of Court Order (Order Date: 05/04/2022 )

The above-named defendant is not permitted to apply for the issuance of a passport and/or passport card during the
pendency of this action.

The above-named defendant surrendered passport number f and/or passport card number
to the custody of the U.S. District Court on 06/28/2022

x!

NOTICE OF DISPOSITION
The above case has been disposed of.

[__] The above order of the court is no longer in effect.
|_| Defendant not convicted — Document returned to defendant.

oH Defendant not convicted — Document enclosed for further investigation due to evidence that the document may
have been issued in a false name.

[__] Defendant convicted — Document and copy of judgment enclosed.

Distribution:

Original to case file
Department of State
Defendant (or representative)
Clerk of Court

File and source

File

gov.uscourts.wvsd.234070.23.0.pdf

Size

133,077 bytes

SHA-256

cf6a54cdaf91630cc1ffe401f8d9dbe89c2bbf29bba3a76e356915c84cec53bb

Our copy

gov.uscourts.wvsd.234070.23.0.pdf

Original

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