| Field | Value |
|---|---|
| Document | Passport identification page |
| Name | Name field present (not transcribed) |
| Sex | M |
| Birthplace | Redacted/blackened |
| Birthdate | Redacted/blackened |
| Nationality | UNITED STATES OF AMERICA |
| Issue date | FEB. 27, 1985 |
| Expiry date | FEB. 26, 1995 |
| Signature | Signature of bearer present (signed) |
| Photo | Black-and-white portrait of an adult male |
| Notice at top | "Warning: Alteration, addition or mutilation of entries is prohibited..."

EFTA00014575