EPSTEIN JEFFREY 10/19/2011 16:36:10 (b )(7)(E) UNCLASSIFIED// ..-..-...-.. ....,,..,..,,...,a, , , ,...,.. ..-..a,n, J..71"\ - vrrf'l;;,TF\L------U::)C-Vl'l C f Admissibility Secondary Inspection - Crossing Information Site: Disposition: Port Crossing Date: Referred Date: Airline: Comment: Subject Last Name: First Name: Date Of Birth: Ins Country: Gender: Race: Passenger Document Document Type: Document Issue Country: Document Number: CBP-ST THOMAS, VI PREDEPARTURE @IUIGl1 U.S. Citizen {USC) 10/19/2011 16:36:10 10/19/2011 16:36:10 P.T. GARUDA INDONESIA {GA) (b )(7)(E) EPSTEIN JEFFREY 01/20/1953 United States {US/USA) Male - White 111111 PASSPORT i!illl United States {US/USA) MtWW Ref err al/Vehicle Information Referral Reason: Miscellaneous Info Type Association: Remarks (b )(?)(E) (b )(?)(E) NO FIN NUMBER Document Type UNCLASSIFIED // r-"n r"\r-r-,,-.., A 1 1 ,,...,- ""''"'