EFTA00130588



08/20/2019 09:55 EDT


U.S. Customs and Border Protection
U.S. Department of Homeland Security
US Passport (P)

Generated By: MALLORY ROSSO

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<table><thead><tr><th colspan="4">Passenger Information</th></tr></thead><tbody><tr><td>Last Name</td><td>First Name</td><td></td><td>Gender</td></tr><tr><td></td><td></td><td></td><td>M - Male</td></tr></tbody><thead><tr><th colspan="4">US Passport Information</th></tr></thead><tbody><tr><td>Passport #</td><td>Passport Status</td><td colspan="2">Document Type</td></tr><tr><td></td><td>I – ISSUED</td><td colspan="2">P – PASSPORT</td></tr><tr><td>Issue Country</td><td>Issue Date</td><td colspan="2">Expiration Date</td></tr><tr><td>USA – UNITED STATES</td><td>03/07/2008</td><td colspan="2">03/06/2018</td></tr><thead><tr><th colspan="4">Personal Information</th></tr></thead><tbody><tr><td>Last Name</td><td>F</td><td></td><td>BORN</td></tr><tr><td>Gender</td><td>F</td><td></td><td>Nationality</td></tr><tr><td>M – Male</td><td>USA – UNITED STATES</td><td colspan="2"></td></tr></tbody></table>

For Official Use Only / Law Enforcement Sensitive