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Case 9:08-cv-80119-KAM Document 305-5 Entered on FLSD Docket 09/17/2009 Page 3of3 dane Doe No, 4 v. Epstein Page 3 STATE OF FLORIDA COUNTY OF PALM BEACH Thereby Certify that’ on this day, before me, ‘an officer duly authorized éd to administer © oaths and take acknowledgments, personally appeared Jeffrey E. 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 person: le ftus, Epstein , and that an oath was/was not taken. WITNESS my hand and official seal in the County and State last aforesaid this day of __Seyt. 17 _, 2009. ; : Shin 1 Zaha (SEAL) NOTARY PUBLIC/STATE OF FLORIDA “ COMMISSION NO.: , nS OF 6 ", . erste ce | | 03956-11009