EPSTEIN JEFFREY 07/02/2012 18:31 :08 UNCLASSIFIED// ..-..-...-.. ....,,..,..,,...,a, , , ,...,.. ..-..a,n, J..71"\ - vrrf'l;;,TF\L------U::)C-Vl'l C f (b )(7)(E) Air/ Sea Baggage Secondary lnspectionllfll) Subject Last Name: First Name: Gender: Date Of Birth: Crossing Information Port: Site: Inbound/Outbound: Port Crossing Date: Embark Port: Departure Airport: Airline: Passenger Document Document Type: Document Type I: Issue Country: Document Number: Miscellaneous Info Remarks EPSTEIN JEFFREY Male llilla 01/20/1953 JFK INTL ARPT (4701) NEW YORK, JFK AIRPORT, TERM 1 1111 Inbound 07/02/2012 18:31:08 CHARLES DE GAULLE - CHARLES DE GAULLE • AIR FRANCE (AF) Ref err al / Inspection Information PASSPORT - PASSPORT all United States {US/USA) ,,,,,1, Referral Office: Referral Reason: Referral Comment: Inspection Completion: Inspection Result: Yes Negative Personnel Search: No Baggage Examination: No Passenger On Declare Number: 1 UNCLASSIFIED // r-"n r"\r-r-,,-.., A 1 1 ,,...,- ""''"' qIQital