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CUSTOMS DECLARATION FORM 6059B

CURRENCY AMOUNT
NAME QUESTION DECLARED
CHECKED NOTHING
AHMED ALGAMDI OVER $10,000
BYUNK
YES $500
SAEED ALGHAMDI
NO NOTHING
HAMZA ALGAMDI

NOT CHECKED NOTHING


AHMAD ALHAZNAWI

NO NOTHING
AHMED ALNAMI

NO $1,500
MARWAN ALSHEHHI

NO NOTHING
MOHAND ALSHEHRI

NOT CHECKED NOTHING


WAIL ALSHEHRI

NO NOTHING
WALEED ALSHEHRI

NOT CHECKED NOTHING


SATAM AL SUQAMI

NO NOTHING
HANI HANJOUR

YES, BY UNK NOTHING


MATED MOQED

NO $500
FAYEZ AHMED HASSAN
BANIHAMMAD
TO THE
UNITED STATES
DEPARTMENT OP~THc TREASURY ;' ouoixFSvZaui
UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARATION . ' ''""

EadT srrivin?. traveler"of responsible farrily member hxsst provide the


fdlcv.i;igjnfcjrrrv3tion (onlyJDNE written dec!aralion per farrily is required):

A.'o-'^
2 rirr,l (>3'v.?n: N*rra:
_ . "3 rAflae lmal(s). 4 Birtli Dale (aaymKt'yr)

\t Airl;r.c. F.^n: No 0* Virssci Na^v: ix Vehicle L-cirn-t No

! r>g VMCi You


f'lbiCoJntry ol Rcsitfenco
' P^"^ Vp'"'1'h'P I

B (aj 'u S A(1tfrBSs"7s/r4el*Vuniafff.'Mo(t!j5.(ailir>g idoresi ir U.S.)


: • / i . _ • . ) . . . -

. B (c) U S Atidrc:: (Sisle)

JL V ^i "3.H1 '* Vii\: if


S Coun;-t s visiiiyj^n lh:s trip pviorioXl.K arriv
v

10 Tne f/uv,»sc of rr.;- (our) tnp is o: was: \t


^Cnc-ri: on* » boift bojrcs. i/ appuca&e)

I SIT. fv.'e a-e) br-Aqinp Irjits. plariis. maais. lood. : ;


soil, birds. snaJs. oilier live ctnirrials, wildlrie • T**s^ ^es
srosufts, larrr. products, or. have been on a larm '—^K
or ranch outede the 'J.S.:
'•2. I 3T. i We 3ivl carrying cunncy or monetary / r-~
int'.njner.ls over SI0.009 U.S.. or lorcign / i-.l

12 ! have (We have) commercial .nercMandisc. I\S.


D.' foreign (Check one Sov onJ)-)

14. The to'jji *.^il'je of aii goods, induding commof- "\^


cia! inercnandise. IVe purchased or acquired I) i4>
ahroad ano 3rv.-ire tringing to Ihe U.S. is: ;/ j —
7D.S. DoHars)
{See lite msrvcHons W I/M> oar* o/ (Wj form unSer 'MERCHANDISE' antf use l/ie spacs
p.-o«tfetf (.lore ;o fc o.l (fie /(ems /ou musl tfec/arB. //you nav» nol/iinj lo tfac/anj, mfle '- 0 -'
In f/ie fpace provided abovu.)

SIGlTBELOW'AFTER YOU READ NOTICE ON REVERSE


l have read th2 notice on the reverse and have made a tiutrifU deda"ation.

X
US Cuslori-.s^ise oniy - DiTnoTwrite below this lin%- U.S. Customs use only
ICE NUUBfcK : STAWf AREA

TIME COHPU

Customs Form B059B (012799)

REQ #20-1 and 2 000000424


o
WELCOME TO THE UNITED STATES •*
DEPARTMENT OF THE TREASURY
UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARAT]
WCFH 122.27.14t.12,141.13,14*,I10.

Each arriving traveler or head of lamlly must provida^rrfs following informa-


tion (only ONE written declaration per family is required):

2.

4. Number of family members traveling with you

5. U.S. Address: ...\V.O.^.^A.

City: .jCsJcAt*..\.\<gVP ./,.. State:


6. I am a U.S. Citizen
If No,
Country:.
7. I reside permanently In the U.S.
If No,
Expected Length of Stay: >f..!ft
6. The purpose of my trip fs or \. [ [BUSINESS
I am/we are bringing fruits, c/anla, meals, food,
sod. birds, snails, other iveinlmals, farm
products, or I/we have been on a farm or ranch
outside the U.S.
10. I am/we am carrying cu or monetary
Instruments over $10, . of foreign
equivalent.
11. The total value of all goods I/we purchased or
acquired abroad and am/are bringing to the U
Is (see Instructions under Merchandise on
side):

9/11 Working-level Employee


APHIS/FWS USE ONLY CUSTOMS USE ONLY
WELCOME
TO THE
UNITED STATES
DEPARTMENT OF THE TREASURY BSKffffiSgl-,
UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARATION
1BCFR 122.27. 148.1Z 148.13. 148.110. 146.111
Each arriving traveler or responsible family ii'ieiiOer must provide the
following infix 11 ation (only ONE written declaration per farrily is requirecQ:
1. Family Name : ~~

2. First (Given) Name 3. MeMa lnrbal(s)|«. Birth Date (deyfmofyr)

light No. or Vessel Name or Vehicle License No. B.Nurrba-afFemly


Menfen Tiavrf-/
hgWthYcu
7. (a) Country of Ci 7. (b) Country of Residence

O/'
8. (a) U.S. Address (Street Number/HateVMaOing Address in U.S.)

J f]
8. (b) U.S. Address (City) 8. (c) U.S Address (Staff)

MiCUr?/
9. Countries visited on this trip prior to U.S. arrival
Fl&Hdta
m E
10. The purpose of my (our) trip is or was: Business SFsonal
(Check one or both boxes, f applicable)

11. I am (We are) bringing fruits, plants, meats, food, i ,


sol, birds, snails, other live animals, wildlife Yes
products, farm products; or, have been on a farm ' '
or ranch outside the U.S.:
12. I am (We are) carrying currency or monetary I 1
instruments over 110,000 U.S., or foreign | | Ye»
equivalent:
13. I have (We have) commercial merchandise, U.S.
or foreign: (Check one box only)
D Yes

The total value of all goods, including commer-


cial merchandise, I/we purchased or acquired $
abroad and am/are bringing to the U.S. is: t> (UTS. Do/tors)
(See the instructions on the back of this form under "MERCHANDISE" and use the space
provided there to list all the Items you must declare. If you have nothing to declare, write '- 0 •'
in the space provided above.)
SIGN BELOW AFT D NOTICE ON REVERSE

U.ia. Customs use only - Do not write De


INSPECTOR'S BADGE NUMBER;^ On

Customs Form 60S9B (012799)

000000295
REQ #20-1 and 2
WELQOME TO THE UNITED STATES
DEPARTMENT OF THE TREASURY FORH AW.BOVEo
UNITED STATES CUSTOMS SERVICE OMBNO.HIMMI

CUSTOMS DECLARATION ''


19 CFR 12Z^7,148.12.148.13.148.110.148.111

Iving traveler or head of family must provide the following informa-


ONE written declaration per family is required):

2. Date of Birth: .7 ii.?.. JJ^i-- 3- Airline/Flight i/Lffia. J£


Day J Montt 7 rfcjr °^

4. Number of family members traveling with you

5. U.S. Address:
" <~~>t sA^l~\,
City: ite:
6. I am a U.S. Citizen YES NO
If No,
Country.
7. I reside permanently in the U.S.
If No,
Expected Length of Stay: ..
8. The purpose of my trip is or was BUSINESS
9. I am/we are bringing fruits, plants, meats, food,
soil, birds, snails, other live animals, farm
products, or I/we have been on a farm or ranch
outside the U.S.
10. I am/we are carrying currency or monetary
instruments over $10.000 U.S. or foreign
equivalent.
11. The total value of all goods I/we purchased i
acquired abroad and am/are bringing to the li.S.
is (see instructions under Merchandise on reverse
side):

»- MOST MAJOR CREDIT CAR


SIGN ONI REVERSE SIDE AFTER Y
_ (pAJhfe IMflba^fefee.
INSPECTOR'S NAME &®

BADGE NO.

k Reduction Ad Notica: The Pi vn muff !•! you wfiy we ar* eotaeUng IN*
ntormalion. how we w» UM h arut lor (te HMnutton u> eairy out Vnm Custom*.
K and Currency laws of ' complying wflh mesa laws and
ofigure*nd eotect the
Staltnwn required trj 5 CFR tttte coltaelton of ntotmalion a
3 rranuici per ittpondtnt or . Cotmnnu concerning ih* Kcuney a(
this burtefi wUmaW tnd aiOTtstkMtt tar reducing t dirac(«d lo U^ Customt S«rv«j», Papcrweik
Maru9tnwd BrancN. Wuhhglon. DC 20229. and to
(151S-OOJ1). Washingioc. DC 20503.
Customs Form 5Q59B (0320B9)

#20-1 and 2
000000513
ȣ>H\SrPNS VSt ONLY CUSTOMS USE ONLY
WELCOME
TO THE
UNITED STATES
FORM APPROVED
DEPARTMENT OF THE TREASURY OhCNO. I51S-OW1
UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARATION
19 CFR 122^7. 148.12.148.13.148.110. 1<«.111
Each arriving traveler ex responsible farrily maitaa must prcvide the
following liifurnation (only ONE written declaration per family Is required):
1. Family Ham

2. First (Given) Name 3. Mdde Iri1ial(s)| 4.

5. Airline/Flight No. or Vessel Name or Vehicle License No. B.rirtwofFarnly


ManimTnMi- ,
hOVWiYou '
7. (a) Country oT hip 7. (b)Q of Residences

8. (a) U.S. Address (Street NumbeaHotel/MaOing in U.S.)

8. (b) U.S. Address (City) a. (c) U.S Address (State!

. arnVal

rq
10 The purpose of my (our) trip is or was:
(Check one or both boxes. IT applicable) D Business "[Personal

11. I am (We are) bringing fruits, plants, meats, food,


soil, birds, snails, other live animals, wildlife
products, farm products; or, have been on a farm
or ranch outside the U.S.:
DYes
12. I am (We are) carrying currency or monetary
instruments over $10,000 U.S., or foreign
equivalent
DYes
13. I have (We have) commercial merchandise, U.S.
or foreign: (Check one box only)

14. The total value of all goods. Including commer-


cial merchandise, I/we purchased or acquired
abroad and am/are bringing to the U.S. is:
$ tu.it. oculars)
(See the instructions on the back of _ ' and use the space
provided there to list all the Items you Odedara. ffyftq have nott/nojo declare, write •- 0 -•
in the space provided above.)
JHg'T
SIGN BELOW AFTER YOU READ NOTICE ON REVERSE
-I have read the notice on the reverss^W13^ gadgjartauthful declaration!

ms use only
INSPECTOR'S BADGE NUMBER STAMP AREA

TIME COMPLETED

\
Customs Form 6059 B (012799)

REQ #20-1 and 2 000000551


APHIS/FWS USE ONLV CUSTOMS USE ONLY
WELCOME
TO THE
UNITED STATES
DEPARTMENT OF THE TREASURY FORM APPROVED
OMBNO. 1515-OM1
UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARATION

19 CFR 1223T, UH.12,146.13,148.110. 146.111
Each arriving traveler ex responsible farrily member must provide the
following ii ifoii i tdlion (only ONE written declaration per farrily is required):
1. Family Name

2. First (Given) Name IKMde IrtfiaKs) 4. Birth Date (day/mo/yr)


£><* \° 5 I ~78
S. Airline/Flight No. or Vessel Name or Vehicle License No. 6. Nuntw ol Farrily
Markers Travel-
ing WthYcu
7. (a) Country of Citizenship 7. (b) Country of Residence

flftflS
B. (a) U.S. Address (Street Number/HotelMailiny Address in U.S.)

iOoool U /4Ttj4j/T~JC. QV
8. (b) U.S. Address fCflyJ 8. (c) U.S Address ("State)

CoRfll
9. Countries visited on this trip prior to U.S. arrival

10. The punjose of my (our) trip is or was: | JBusim X Personal


(Check one or both boxes. 7 applicable;

11. I am (We are) bringing fruits, plants, meats, food,


soil, birds, snails, other live animals, wildlife
products, farm products; or, have been on a farm
or ranch outside the U.S.:
D Yes XNo

12. { am (We are) carrying currency or monetary


instruments over $10,000 U.S., or foreign
equivalent
D Yes X. No

13. I have (We have) commercial merchandise. U.S.


or foreign: (Check one box only)
D Yes No

14. The total value ofaD goods, including commer-


cial merchandise, I/we purchased or acquired (5oo
abroad and am/are bringing to the U.S. is:
(See (he instructions on (he back of this form under 'MERCHANDISE' and use the space
provided there (c Bst all the Kerns you must declare. If you have nothing to declare, write '- 0 •'
in the space provided above.) _
SIGN BELOW AFTER YOU REAOJ4QTICE ON REVERSE
I have read the notice on the reverse and declaration.
CTION

Customs Form 6059B (012799)

#20-1 and 2
000000608
on
APHIS/FWS USE ONLY CUSTOMS USE ONLY CO
WELCOME CM
TO THE o
UNITED STATES o
o
DEPARTMENT OF THE TREASURY
o
UNITED STATES CUSTOMS SERVICE o
o
CUSTOMS DECLARATION
19 CFR 122.27. 146.12.148.13. 14J.110.148.111
Each arriving traveler or responsible farrilyj member must provide the
following Irifurniation (only ONE written declaration per family Is requinad):
1. Family Name

2. First (Given) Name 3. MdJe IrttaJ(a) 4. Birth Data (aty/mofyr)

5. AWna/FHgM No. or Vessel Name or Vehicle License No. fl. Number of Fandy
Members Travel-
ing VMtti You
7. (a) Counlr/«f Citizenship 7.(b)Cj

PI
S. (a) U.S. Address (Street

•> H-Q ft
8. (b) U.S. Address (CHy) B. (c) U.S.Addre*a

9. Countries visited on this trip priorTo U.S. arrival

10.. The purpose of my (our) trip Is or was: 1 1Business Personal


(Check one or both boxes, X applicable)

11. 1 am (We are) bringing fniHs. plants, meats, food.


soU. birds, snails, other live animals, wildlife
products, farm products; or, have bean on a farm
or ranch outside the U.S.:
12. I am (We are) carrying currency or monetary
Instruments over $10,000 U.S., or foreign
equivalent:
D Yes No

13. I have (We have) commercial merchandise, U.S.


or foreign: (Check one box onty) Yes (M

•d
igrammer-
14. The total value of all goods, Including commer- |\r acquired
cial merchandise, I/we purchased or act ' ' $
)
c
abroad and am/are bringing to the U.S.J.sTis: [/ (0
(See the instructions on the back of this form undi ana ust the space
provided there to list all the Hems you must declare,
in the space provided above.)
declare, write '- 0 •' I
O
SIGN BELOW AFTER YOU READ CM
I have read the notice on the reverse and hav^jrade^a
</

U.S. Customs use only — Do not write belowThiaJIna' '-^jj.S. C/ustom; use only
INSPECTOR'S BADGE NUMBER

TIME COMPLETED
WELCOME TO THE UNITED STATES
DEPARTMENT OF THE TREASURY FORM APPROVED
UNITED STATES CUSTOMS SERVICE OMB HQ.1S1S*0041

USTOMS DECLARATION
19 CFR 122.27.14B.12.148.13,146.110,146.111

|ng traveler or head of family must provide the following informa-


NE written declaration per family is required):

e .
2. Date of Birth: /1 _ ^_ .jit „ .|_L££5 3. Airline/Flight __\(.

4. Number of family members traveling with yoj^

5. U.S. Address:.._.]>) JdJCTU.. -Slgj

City: State:.
6. I am a U.S. Citizen YES
If No,
Country:
7. I reside permanently in the U.S.
If No,
Expected Length of Stay:
8.
9.
The purpose of my trip is or was
I am/we are bringing fruits, plants, meats, food,
DBUSINESS

soil, birds, snails, other live animals, farm


products, or I/we have been on a farm or ranch
outside the U.S.
10. I am/we are carrying currency or monetary
instruments over $10,000 U.S. or foreign
equivalent.
11. The total value of all goods I/we purchased i
acquired abroad and am/are bringing to the/U.S.
is (see instructions under Merchandise on reverse
side):

-MOST MAJOR CREDIT CARDS ACCEPTED.


SIGN ON WARNING.

INSPECTOR'S NAME I STAMP AREA

BADGE NO.
JUN n Rpnm
PiDtTwDtk Reduction Act Metier, Th«
I to cwry out the Cuxiontt.
JkgncuiUm and Cunmcy k*w* of ttw h lh*M Uwt and
to Oow in lofigureand cofect the rignt «mounl rt fltfitt ind
St«tamMl nqwnd by 5 CFR 132021; Tht estontM coOtctton ol ntormition it
3 tninutat par nupondtnt or dng UM •ecuncy ol
Ihis burdtn tsttMta Md nggntiom tor nckidng Mt bunMn bt *»et«l lo U.S. Customs Servic*.
Mwwgwrwnl Bwwh, Wnhingion. DC 2032V and to ne Offct of •nt) BudaM. Ptptrvwfc R«kJ««r Propel
(IStS-OMIJ. WBatHngten. PC 205O3.
Customs Form 60S9B (092089)

#20-1 and 2
000000670
02/21/2002 11:25 FAX + SAC/TAMPA 1^1003/010

r
WELCOME TO THE UNITED STATES
. DEPArTTMEKff OF THE TREASURY pomwmB,
UNITED STATES CUSTOMS SERVICE em **>****•

CUSTOMS DECLARATION
19 GFft 722.27, M8.12. 14S-13, HJ.110.14B.111 .

Each arriving traveler or head of family must provide tha fallowing informa-
tion (only ONE written declaration per family is required):
1. Name JAi. _ _ 1i • _ .
r •' '
r•
2. Dare of Birth: -2.C?J.lgl_jJ£&. 3. Alrllne/RIght .hl.5-
4. Number of family members traveling with you

5.

6.
U.S. Address: £2~J.6

City: G?.j^4
I am aJ^.-S. Citizen
If No.
mm
; = .

Country: _$jz..
7. I reside "permanently in tha U.S. YES NO
If No.
Expected Length of Stay: _^
8. The purpose of my trip is or was BUSINESS PLEASURE
9. I am/wa are bringing fruits, plants, meats, food,
soil, birds, snails, other live animals, farm YES NO
products, or I/we have been on a farm or ranch
outside the U.S. D
10. I am/we are carrying currency or monetary YES NO
insiruments over S10.000 U.S. or foreign
equivalent
11. The total value of ad goods I/we purchased or
na
acquired abroad and am/are bringing to the U.S.
is (see instructions under Merchandise on reverse
side):

+- MOST MAJOR
SIGN ON REVERSE SIDE AFTER TSSBiRSflEBWARNtNG.
(Do not writs below this line.)
INSPECTOR'S NAME APJ
l5^^
BADGE NO. ADiVHl rpn
UNTIL CUSS
hftmacon. !»• «t •« i»t" »^ -in*-- r"tm* " &" * ta *• I* "^ •* •!> KHMnfllMi» «wy out«» Cwvmt.
t thai irav«ton an oonvlyfng vttt fM«o >(M» ?ntf
'
annum*™ raqulnd W 0 OFB 13:121: Tne *nH»*M :~«"s, •Uh ihi. cnLkalan et kiloimojcn a
3mlnvi»pyi»»tMM^«"ii«u>™i»'a*M«nilt*°nlnai«diittlei Camnom luncnMig M leaner «f
far ntfuUng mtt ouKtan would M ifnon) » U5. Curam S^IPS »f-~~«
Bandi. wgcHngion. DC 2<cn. aw u «<OTIICTw Kma^pngM ma map*, Dnpmnm Auudin, Pn|>ei
I1C15-W11. '"acnlnqun, Be aaaa.
CusToma Form 60536 (0920B9)
WELCOME TO THE UNITED STATES
D6PAKIWe*T OF THE TREASURY ,»..
UKTED STWES CUSTOMS SERVICE •—•«
CUSTOMS DECLARATION

Exft «rwn| kanlv or teod <X bnftf mtxl aovide the Idinonfi rtonro-
lion (»*» DUE wiSfcw didwMicn par Cjm> '* i

AntMCtfVn
4. Nunfcw oi randy n«nii»<3kav-^ni)W<lifou

C*y: -"D i- :*.<». ff a r t cl^


6. I am i U.S. YES MO
«<*>.
*rf- .j'^.."Art- */v«Q D-
7. I nnid* (xmrawuS n Uw US. yg HO .

5. Di« twpcov ol n«f Hip to ur tt


9. l«i^«MB«tiiing<n|huixr>br«LinaKS.
xrf. Dnte, tnati. txiHrlH* nnate. tvt
produce. T< Vnchav« bn«i or a bmor
0*li« «-• U.S-

10. Itin'maiacxrrliisaowicrariTvnrfant
S 6-
YES HO

11.
«»ia<XMU5. arknign
nn
•cqured «tao« and ante* brinoins !» »»• OS.
a (M* imanttSoni indr l>fcidundw on i*«»
nctaf
. . .
>>- MOST MAJOB CBEDfTCAROS

(Do IVX »rit.

S«ftt«yW«:A
•.ft!

BiOCEMa
^,WH-. l>
=*r^J

•4In Htfrtt »»N»i »^ *• P* • ^-^y >••• ^xy

•t^Mt •!•«. 1C 3iai««»»-O*<* «.!!*•—•••< ^^M»<|-W^ii

E== -^^Pr.^*} . r_

CiatB«i4 Swm

•cr -^J^-?i^X^'!—^%SI-.;C ^^*"

c/

9/11 Working-level Employee

REQ #20-1 and 2 00000669


•,7a*eos zx a
^ BAC/C I

CUSTOMS use ONLY NOTICE


WELCOME " . T>ep »*ST
LONGtHeS, AMO CDKVF.-AKM *« 3t«JKT TO S€-*flCH. <1» CFR
TO THE
STATES (raDi*<n tt) mg»*B» eT amotrt b • vWjfcn <y u.S tow
*^*! Dl IFF PBOPUCT3
OF THE TREASURY -
STATES CUSTOMS SERVICE

STOMS DECLARATION
on imr. ta.iz, >««.» ia.n«.
Iravefcr or responsible fam'ly member nrua prwicte the
RSGAKXE5S C3F AM3-NT. IS LEG*!.-

i.F*«*r •
atcrea.)cuarerccMra3er LAWtaRLE
renal Ol Forn4790W(h*TeO.SQBtm5S«rwee. >>cun»^»aieueel»»ony>g curacy
1 Ufctfe t LBrmDaafd
OR fWLURETO R£POWTHejS2f»-'*«XM"^3J *"£ CWWTING N«T LEAD TO TVE 5B-
OFj«y. TVE OJRRENCT OR IWTRLKEXTS, AH> NV.Y SUBJS^YOJ TO CML PES-
>l £ S>«30R oaw*«. pBo
« Yen* Kame or Vefttao Lfctrnt No.

VfSTOTS * OEtan m ton 1* »« CM YZ»L» a jH antoalrBTMM fcr


7. (h| Gxrey <* R»»i4««» jt*ela->allnlh5U.S Ttn inclu
Ma) Cajwr of Ofanrto
(EXCEPTION- Yar OMI pararvl tngai. •u^i

. 1»> U.S. AddinM (3>»«l «unfr»i l la U.S.1


Wrxd ftr ptrcrtea.ren*«=o» a (ift er or«r«««el. Inou*^ ihcse srtoa punrsned h DU7T
I (b) U.S. teeaa* /Ctrl
«-r1 ' nrirn « r-mTnr»- m»'l m ltr-i| trc ajaat t InWUS.
CALlfoRMlA -. Ui returc an:
>. Courtrto ncted wtHiva UK* to U.S. arrival <Uy l«e t=rr»niicn rf MOD »i »x» them. I
! oena J-Emmity enoMBCineunJujitfpga DulyaroiraUy anaraacf igs
f^ SO* «TBn(b«AU.J»**<«hrtc««-«r«>*™-fnOBpBa«lUS Odiers
»dumlb»«< gtUatty nor cnrmax name* and numm. FCT corr^Hc MAW S ksCO.

. If I ii 14 ..... 1 T>T3 -^1 IWB O bc»M« Iho


rpcMarinu [/JBiui
on. or be*

. c n> tnq<pf >utt. pDna. mub. faod.


>e>J. btan. mil. aherVn jmmab. wttlfe IF YOU HAVE ANY QUESTIONS ABOUT WHAT MUST BE
* M. ha«« b*«i on a fen*
REPORTED OR DECLARED, ASK A CUSTOMS OFFICER

•J n| nnyv^ ajnvne^ or DESCRIPTION OF ARTICLES ( VA1 .,-


jatn*rt*anni-*a<inar~-FmBn»e» *•"»-"= CUSTOMS USE
vihawtiOAnuJ.. '
j
. U.S.
or (orvpr fOndt on« Mr enffl
1

. Th« to onnm*f~
v'acoulrad
>n< xiyin tringing lo *K U JLji;
S»» »« ttmctforB on n> Udc a" (Mr .'bm todcr ~U3KXlNOt5£~ ind ut> ffx

SIGN BELOW AFTER YOU D NOTICE ON REVERSE


mad ir« ratce an ine reverse

U.S. Cuitcrm ua« cniy - Do no •unofrs uje omy


isreCTOKS tAOOE. MUW1CR TOTAL [>l

I SbUa. f<* moat to»<

rManfkoerf 0amndnQ on nnofc cgvcmmnq 9ic aecu'TCr 0>


cnciM «US. Cu5ram> SM^xa.
\C 21ga CXJ MOT
ooti SOSSB (01Z79S) •u.s. GPO-. Cuitom* farm IOS98 lr 12 79?)(Eic.W|

-WF-
REQ #20-1 and 2
WELCOME TO THE UNITED STATES
DEPARTMENT OF THE TREASURY FORM APPROVED
UNITED STATES CUSTOMS SERVICE OMB NO.I51S-WM1

CUSTOMS DECLARATION
19 CFR 122.27.146.12.146.13.148.110.146.111

Each arriving traveler or head of family must provide the following informa-
tion (only ONE written declaration per family is required):

2. Date of Birth: \3_ J—3i..L7..7 3- Airline/Flight __Q_lJp


4. Number of family members traveling with you
S. U.S. Address: ...Q.C5 J.CrLr-.
City: ..QjClLZLCld-Q- state: --h-L---
6. I am a U.S. Citizen YES NO
If No.
Country: , .U.&E.. D 0"
7. I reside permanently in the U.S. YES NO

B.
If No,
Expected Length of Stay: .-
The purpose of my trip is or was BUSINESS 1EASURE
zr
9. I am/we are bringing fruits, plants, meats, food,
soil, birds, snails, other live animals, farm YES
products, or I/we have been on a farm or ranch
outside the U.S.
10. I am/we are carrying currency or monetary YES
instruments over $10,000 U.S. or foreign
equivalent.
11. The total value of all goods I/we purchased or
acquired abroad and am/are bringing to the U.S.
is (see instructions under Merchandise on reverse f~ /-^ /*-)
side): *--?££--

»- MOST MAJOR CREDIT CARDS ACCEPTED.


SIGN ON REVERSE SIDE AFTERTMMBQt^DrWARNING.
PO not wrtte*pelow Ihi; 79Q8
INSPECTOR'S NAME
.IIIK
BADGE NO.

Paperwork Reduction Aa Notice: Die Paperwork BedyferjOiCIjtj MO *

Agriculture »d Ctaencr tow. of the United Sum. yJUSL ItUjmum that n


to eiow us to figure end coBect the right imounl ol duties and t
Sulenwm raqi«nd br 5 Cm 132O21: The «Btimal«d w««gi buntan IxsedMad wMh IMS eotaclidn at
3 mituitas PIT nspondcnt or neoldkHpir dvpflndng on InonrUutl ORUnsuncn. Comntnts smcmiHg tt» •c&uney ot
ttu£ bunMn UUIHIC MMj suggestion* tor reducing this burden snouU M deeded te U-S. Cusloms Service. Peperwork
Menegemenl bench. Wisninatan. DC 20229. end to the Office ot Management end Budget, Pepervnvk Reduction Ptoiect
I151S-OM1I. Weshlnglon. PC 20503.
Customs Form 60S3B (OS20B9)

REQ #20-1 and 2 000000088


.APHIS'F'.VS USf. CUSTOMS USE ONtA

TO THE
UNITED STATES r
.-?;*?- ' DEPARTMENT OF THE TREASURY oSS"NcT$?3S.
/23S5i&\D STATES CUSTOMS SERVICE 5.

\®r3 CUSTOMS DECLARATION

Each arriving traveler or responsible family member mjsS provide the


following information (only ONE witten declaration pef farriry is required):
1. Family Name ~,

Y FTttFtG^en/ttaro " :3~ f.'&te IribaKsV 4. Birth Dale (aayttnoffr)

£ Aininc.'F'ughV No" ar Vessel Tiamc'or OefiiSe License No. A$. NLTTDO- of FKT*-

_
1 ~- *' ' ' 1i r T*-.w^_
K1IUC14 1I£T^^
g VJSi You
7. (aTCcjfitryelC'caBnshiii ! 7 (bi Cou.Tfrv- of RcskJanc*

S. (a;"0,S. Aiircss fSi/ec! Num»enHo(e!'M3ffing ^od/uj»i in U.S.;

•vyy-.W'i'?-r /_ jjjj^-L /
'8"'(L) U.S. Ada.-ets fCiyj |8. l ' J S AdJress (Slam/

9 CoarBner. vartsd on :his trip prH» 10 U S. arriv.

10. The purcosii o! my (our) Inp is or


/C'luc* on- cr SaWi So.«es. i
! Business
DPersonal
! am p.Vc arc) btinaing iruils. Dlamafmec::. loc-i. ,
sod. bircs srtafc o^e: livi> srvmoljK wi'diife | • Ves
uca. (am products, o:. nave Been on a 1arm ...>>'—"
or ranch outside Ihn U S.: r ^>~
/ing currencyJpr
12. i am (We 3-*e) carrying currency nwneurv jf • 1 } i Iu
instruments over $10.000 " ~ Jr foreign /
U.S. i iY«X | SN°
equivalent
1 4N=3~**rf—
13, I have (We have) canirncici chandise. U.S.
or fcFBign: fCfteck ono 6o/

TTliB total value o( all goodrjSndudng comnier- ;K jfi


cial merchandise. Invc purfftased ot acquired j ) |N
abroad and anv'iirc
anvarc bnn^
fcnn^i^ to me U.S. i«:_txy >/ j IU 5. Uottorsl
fSoe ens instrjcUons or thejkack.af.-tKtx'-iorm
( . . wter •MERCHAHD1SE' tnd use the space
- - - • -- - - ,i.*, i '*;±. .—J ^ .l<.Mt * !/..«.. lt^,u nn'K.nn fn r4A/-lnj-B um*M *_ rt _ *
pmvidetf then talist 3,TUi* (fcpi\ybo*5)«s(
K ii l1m
dee/are.' It you have nothing lo iteclan, write '• 0 -'
n

in the space provided a&oiftf^" ''.'«f^1-- gO _


SIGN BELOW-yajFTBffvu READ NOTICE Oil REVERSE
I have read the nolicaton the reverse arid h^ve rnactewg^^tfl declaration.

%U ^Customs use only


INSPECTOR'S 3AOGE NUM3SR' -

TIME COMPLETED

Customs Form 6059B (01J799)

REQ #20-1 and 2 000000267