pe: 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