DOJ-OGR-00030297.tif

Case 9:08-cv-80119-KAM Document305-5 Entered on FLSD Docket 09/17/2009 Page 3 of3 Jane Doe No, 4 vy. Epstein Page 3 STATE OF FLORIDA COUNTY OF PALM BEACH Thereby Certify that’ on this’ day, before me, an’ officer duly aithorized ‘to adrhinister oaths and take acknowledgments, personally appeared Jeffrey B. Epstein known to me to be the person described in and who executed the foregoing Affidavit, who acknowledged before me that he/she executed the same, that I relied upon the following form of identification of the above named persom te Sie Cas tein , aad that an oath was/was not taken. WIENESS my band and official seal in the County and State last aforesaid this day of __Seyt. 19, 2009. AME: (SEAL) NOTARY PUBLIC/STATE OF FLORIDA ° COMMISSION NO.: 7 MY COMMISSION EXPIRES: He , yeuebelttay ie L. MAz/* i", -* = My Comm, &xpires & z z May 28,2016 = = = So 03956-11009 DOJ-OGR-00030297