EFTA00022170.pdf
93.4 KB
Extraction Summary
1
People
2
Organizations
2
Locations
1
Events
0
Relationships
1
Quotes
Document Information
Type:
Certification of identity (form doj-361)
File Size:
93.4 KB
Summary
This document is a U.S. Department of Justice Certification of Identity form (Form DOJ-361) submitted by Michael C. Miller on August 23, 2019. The requester lists his address as 1114 Avenue of the Americas, New York, NY, and his date and place of birth have been redacted.
People (1)
| Name | Role | Context |
|---|---|---|
| Michael C. Miller | Requester |
Individual submitting the Certification of Identity form to the DOJ.
|
Organizations (2)
| Name | Type | Context |
|---|---|---|
| U.S. Department of Justice |
Recipient of the form.
|
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| Office of Management and Budget |
Mentioned in the Privacy Act Statement.
|
Timeline (1 events)
2019-08-23
Michael C. Miller signed and dated the Certification of Identity form.
New York, NY (implied by address)
Locations (2)
| Location | Context |
|---|---|
|
|
Current address of the requester, Michael C. Miller.
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|
|
Location mentioned in the Privacy Act Statement.
|
Key Quotes (1)
"I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct"Source
EFTA00022170.pdf
Quote #1
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