of Birth 01/20/1953 9.. Address 6100 Red Hook Quarter 83 10. City St. Thomas 11. State USVI 12. ZIP/Postal Code 00802 13. Country 14. SSN S F'arsonsl Non-U S. Persens) 16. Identification Number (SSN, Passport Numberor caw signer USA 15a. State of Issuance: USA 15b. Coun ry o ssuance: USA 16.