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CN22 - CUSTOMS DECLARATION US POSTAGE AND FEES PAID

Origin Post Date of Mailing: 13 lbs Priority Mail
US Postal Service 01/11/2019 Commercial Base Price 071V11485641
Category of item: 01/11/2019
Merchandise FROM 96929
Zone 1
AES/ITN/Exemptions:
Detailed Description of Contents (671) 787-3000
F Jun Ramos
9405 5118 9956 0020 8036 67
GLASS CASE - FRAGILE
R c/o Waldo Bacinillo
O 312 S 302nd Pl
M Federal Way, WA 98003-4078

Weight Value HS Tariff Number

Qty
(lb/oz) (US$) Country of Origin
ROGERTO B RAMOS
1 13 0 100.00 US
PO Box 7686
TO Tamuning GU 96931-7686

13 0 100.00 TOTAL
I certify the particulars given in this customs declaration
are correct. This form does not contain any undeclared
13 lb
dangerous article, or articles prohibited by Legislation
or by postal or customs regulations. I have met all
applicable export filing requirements under the federal law
and regulations.

Sender's signature and Date

Scrappy Ramos 01/11/2019

PS Form 2976 (March 2015) Do not duplicate this form without USPS Approval. This item may be opened officially.