of Birth 01/20/1953 9. Address 10. City 11. State 12. ZIPIPasral Cods 6100 Red Hook Quarter B3 I St. Thomas USVI 00802 13. Country 14. UN (V.S. Pewee/ Non-Us Persons) 1 5. Identification Number (SW Para;01Nantai or other Nagar wrier.ationnewo USA 090.44-3348 54538864 is. Ses1e of Issuance: 160. Country of I