T5 B51 Hijacker Primary Docs- Aa 11 1 Of 3 Fdr- Atta Tab- Customs Forms W Note- May Not Be The Atta- 3 Pgs Only
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-> SAC/TAMPA
FAX
121005/010
•-* -,-.•••, ••-••••- -:.\ .V;,;:;..>.-v-v.j::;-i-;:;:;v . - ' : • . • . -
CUSTOMS USe ONLY
WELCOME
, ..
I ••
*• j
TO THE
UNITED STATES DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE
CUSTOMS DECLARATION 19 CFH 1Z127. IU.il. 1-W.n. WJ.lTfl, 140,111 Each arriving traveler or responsible family member must provide the following information fonly ONE written declaration per family Is required): 1. Family Mm. 2. Finn (Glvun) Nama
i Ntlal(s) 4. Birth Dale (dsy/ma/yr)
9
'
"
S. Alrfine/Flight No. or Vssaei Nanw or Vehicle Lictmsa No. 6. Wunlxsr of Family Mambera Trs ' jhnVVfthYou 7. (b) Country oi fleaidancz 7. (a) Counliy
;::32T * r~ lr.'
0 8. (a) U.S. Address (Start NumbeitHdeVMaiSng AOdmxfZ a. (D) U.5. Address (XTiW 9. Countries tasted on Ms trip prior to U3. arrival
/
10. The purpose of my (our) trip la or was; (CneeKafleorbomoa"*,!" " "' 11.1 am (We are) bnnging truits, planffl, rficsls. Wot soil, birds, snails, other live animaJs, wj/cflil products, farm predijcte or, have bean on aOim t ranch outtttatfieUS.: / ^ .1 am (W« are) carrying currency op^f jnatrumerc gvw $10,000 U.S., or
Bualneas F| Personal t ":^ .°J -'VL'"^''^'^'!;!-':-;-'
Yea
13.1 Have (We havo) commercial merchAxfise, U.S. of foralgn: fC/w* one tax onfi^ 1
No
No
14. The total value o) al) gooda. Including -,. cial merchandise, I/we purchased or acqL abroad and am/ara bflngjnr; lo me U.S. u: ., . ..--. (See fte JnsOUCfrans on Ihfl 6a<* of Ihts form undafJMErtCHANDrSE' and use the space provided ttieft toSstaltftt items you must daoa/t. If you have nothing to declare, write '-O-' in the space ptuvklsa above).
ON REVERSE
SIGN
aCffgtriful dedaration.
I have read the notice onjhe reverse |J
U.S. C"stpjia.uae only- QofrdLvirfite b»low this Una - U.3. Custarns Use only STAMP AREA
TIMI
^SZZ
Customs Form S059B (101B95)
|;:4^;:••?•!'. -;fe.;^4E^K ^ f:::h-: .•; j-^- ";•-;,.;•: ,;• : • •
SAC/TAMPA
02/21/2002 11:26 FAX
E1006/010
r NOTICE Th» urtiMtM Impwttiton af cortrpOed sutetarew (nansfifaa, ctiembob. prereripdon medfclmss » na« aeeompanJed by A prwcnpdon, ot) regaHtaa. of amount bj a vtolaUon nf US. tew. To pomr* Iha artiro* cBngafous agricultural pass and (VoWhteO w»2Sg,tfiBto«owr«ia ad: fiUfc. vvgetaoW ptants, plaiZpradgca. aot, moats, meat produce, Mnfc, snafe. and otter to aittnate or animal poxfaos, wfctoa and wtdlM pftrtetH. FaOtao to dadam al such toma to a Qoonu/Aflrtaaural/VflldBe nffinw can mautt h penBflfes and me tans may ba*jbJB<* to seizure. Tna bansporiaion of eunsrey or manataiy ndiunanla,,REGAHOIBS OF AMOUNT 13 LEGAL; ifyoB take 01* of offering Into tta Uroad SIMMroom«wn HO.OOOGJ.B-artoio aveiTifyoB alant, or a cemWnadan of 9vj two) In coin, oinency. iKjvstert cfieokxarbaaierlietunaitiaijAa money onlors, peraonal ar eashtaw ehacta, stocks ortapnda.yow are atftrai BY1 LW to FILE a icport on Forni 4780 win BIB U.S. Customs Qgntoa. K you hat* sornaona aho cany na curoney or irobunientt far yoi. you mua also Be *•report.fmUBE TO I=1L£ THE HHJWRED REPORT OB FAUIftE TO REPORT THE TQBL AMOUNT YOU ARE CAHHYINa VIAY LEAD TO THE SEELIHE OF flU. TH5 CURRB4CY OR INSTRUMENTS, AND MAY SUBJECT YOU TO CIVIL MERCHANDISE MSrrcvtSat raB ol 10% on Ihe first ilOOO abova axanVfan. 0 ha vakia ar good; dadamd In Item U EXCffiDS $i4co PEF1 PERSON, lhan tel Aa artctas b«l™ and ahow price paid h US dUffinc or, far ante, bir ratal vah ««. Pteaaa describe al artfctas by Ifieir common naroag and nakatal. Fof axanpla: MAtfS WOOL KNtT SWEATER; DIAMOND AND t3CXD RIN3; ate. Also, piease ha« al your mcslpls ready lo pieMnt tu the Qwoms oftcar. a requested Tnta wH holp to fecWaia [he Inspedfan procasa. COMMEftoMt MERCHANDISE can Be dnonwd as anfclw for fitto, far sOWBr^ oretera. a- otfxr gooefe not consi*5n=d pononal alfcos o» Vn Budar.
r
IF YOU HAVE ANY QUESTIONS ABOUT WHAT MUST BE REPORTED OR DECLARED ASK A CUSTOMS OFFICER DESCRIPTION OF MH 1 ICCES CUSTOMS USE VALU£ (Ltiq rn& be txnttnyed on anoffwf Fern BOSOty
vN
X^ Ci
*; i ^ TOTAL|>
; Raouun AO Nococ Tn« rjbnmikxt cwdpdna on nb Mm to n*»M k> oury out mo cuBunu, AoWJlBW, and SWWHqr bM o( Jm Unlod StcM. W« ru*d Itolr»ux Ihal tmyohm »» canply^ >*hTOMB«S and O aB«i» us bflguraant oAo lh» ligtt omxrt o( <MC «J BOM. Mbgf raepma U mnUur. Tte itfanaM ivnraflo burtwi aoarbied nth Mi eotoctai e( hfetmooiti K 3 rtAmia) p«r raspgndn or m«r*o«3or rHamvJIfia on nniMud anmo&toa. Cotmona eenesmfng no aosaraw m I* bunion BsamoiB nnfl msntfcm lor OKfudnu MB twotan rfiould bo dkso«rf in UA Omorm &n*«, Po»mo* Mai»B«monl
Branai. wa»Hnjtm DC anaaa. PO Aormnn guiy^jBdiagmti n tnii OK*.
.-.- ..:..rl
TJJK3JX3nBB7-«34-«jc
Cuatan Form 30388 (lOiagSKBndc)
feirh-U, :''"•!:-' -.-f1.".
-» SAC/TAMPA
02/21/2002 11:26 FAX
MINISTERE DES FINANCES SERVICE DE LA DOUANE DES ETATS-UNIS
DECLARATION DE TRANSPORT INTERNATIONAL DE MONNAIE OU D'INSTRUMENTS MONETAIRES
12)007/010
OMB No. 1506-0014 Ca formulairo doit At/a remis au Serrici da la douane das Etats-UnK
*• Avis relatif 4 la lol sur HnvlolabllW du ««cr«lE5SOUS) 1. NOM: (mm da faipille, pranom at dauxfems pe&iom) 2, NUMERO D'IDENTIFICATION (volr InanJCSon) 3. DATE DE NAISSANC5 Imait.jmf. aiwitol 31 U.S.C. 531 8: 31 CFR 10323 ol 103.27
Rampltf ilamadthcifarccutairecncaracuifvscnniprlniefle.
tf~ /7&?&?*y 4. DOMIC
ETATS-UlUlSXIU A L'ETRAN6ER
5. NATIONALFTE Ou PAYS DE NATIONALTrE
6. ADRESSE PENDANT VOTRE SEJOURAUX ETATS-UNIS
7. NUMERO DU PASSPORT £T PAYS
tf.f** B. DATE DU VISA DELIVRE PAR U£S
9. LJEU DE DELlVRANCE DU VISA DES ETATS-UNIS
10. NO D'ETRANGER IMMIGRANT
11. 31 LA MONNAIE OU D£ UNSTRUMENT MONeTAITE EST ACCOMPAGNE PAR LA PERSQNNE. COMPLETE2 11(8) 00 (b) A. EXPORTS DES ETATS-UNIS Depart da: (port ou viile das &ais-Unl&)
B. IMPORT* OES ETATS-UNIS
Arrivie S: {viUelpays atrang/tf
Afrivie i (vine des £l*tS-Unis)
?** / 12. 51 LA MONNAIE OU L1NSTRUMENT MONETAIRE EST ACCOMPAGNE PAR LA PERSONNE, COMPLETEZ 12a OU 12b 12a. DATE DE L'ENVOI
12h. DATE DE RSCEPTION
12c, METHODE DE TRASNPORT OWMOTWKI
12d. NOM DU TRANSPOKTEUR
12s. ENVOYS A (nont a! adftssef
r
^tECU DE (notn et adrasse)
It erne PARTIE
INFORMATION CONCERNANT LA PERSONNE(S) OU LA COMPAGNIE AU NOM DE LAOUELLE L'lMPORTATION OU L'EXPQRTATlON A ETC FAITE
,
13. NOM frtom d»fom/Y/e,pro/7o/n, ou dauxiame prenom ou la ftom de la compegnla)
14. AQRESSE PERMANENTE AUX ETATS-UNIS ET A LtiTRANGER.
15. TYPE DE LA COMPAGNIE, OCCUPATION OU PROFESSION
1Sa. EST-CE OU'UNE BANQUE? D OOl
ill erne PARTIE
D NON
INFORMATION SUR LA MONI>lAIE ET L' INSTRUMENT MONETAIRE (VOIR INSTRUCTION AU VERSO) (dolt Sire corrvlStaa par tous tes Interessts)
16. TYPE ET COMPTE DE LA MONNAIE ET INSTRUMENT MONETAlRg
n
Places et monnaics
17. SI TOUTE AUTRE MONNAIE OXI5 VajlLLEZREMPURLAUGNEAETB O
>• *^?,?
Auire Instrumenl momitaira (Sp6riR6 te type. ''sot/14 jfflettrfce ou autra numiro d'idantificatlon)
D
>•
(TOTAL!
a
>•
5
/?^fcr*
^
A, Nom de la monrraic
/^^ B. Pays
IV erne PARTIE
*/?%?
&*<>
^
SIGNATURE OE LA PSRSONNE QUIA COMPLETE CETTE DECLARATION
Sous pelne de parjure, je declare avoir lu la presents declaration et, en toute connaissanca de cause la declare veridique. exacte et complete. 1B. NOM at T1TRE (fcrtre en letUs d'imptjmerie) imprj
—-
19. SIGNATURTE
20. DATE DE LA DECLARATION
.
COMPTE VERIFY
Pk RESERVE AU SERVICE DE LA DOUANE SEULEMENT r ^ COMPAGNIE AERIENNE. VOLS/NAVIRE
^~\E X^Oul / Non PLAQUE 0'IMMATRICULATION ETAT/ PAYS
-~
^-^? ^-^>
^^^^^
agSlJSRATION
/ Oui /
Non
[^_ JWSPECTEUR (notneLo«fh««> W °ao9c)
NUMERO ^Z?sZ?
"^
^^
CUSTOMS FORM 4790 (04/00) (French)
FAX
121005/010
•-* -,-.•••, ••-••••- -:.\ .V;,;:;..>.-v-v.j::;-i-;:;:;v . - ' : • . • . -
CUSTOMS USe ONLY
WELCOME
, ..
I ••
*• j
TO THE
UNITED STATES DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE
CUSTOMS DECLARATION 19 CFH 1Z127. IU.il. 1-W.n. WJ.lTfl, 140,111 Each arriving traveler or responsible family member must provide the following information fonly ONE written declaration per family Is required): 1. Family Mm. 2. Finn (Glvun) Nama
i Ntlal(s) 4. Birth Dale (dsy/ma/yr)
9
'
"
S. Alrfine/Flight No. or Vssaei Nanw or Vehicle Lictmsa No. 6. Wunlxsr of Family Mambera Trs ' jhnVVfthYou 7. (b) Country oi fleaidancz 7. (a) Counliy
;::32T * r~ lr.'
0 8. (a) U.S. Address (Start NumbeitHdeVMaiSng AOdmxfZ a. (D) U.5. Address (XTiW 9. Countries tasted on Ms trip prior to U3. arrival
/
10. The purpose of my (our) trip la or was; (CneeKafleorbomoa"*,!" " "' 11.1 am (We are) bnnging truits, planffl, rficsls. Wot soil, birds, snails, other live animaJs, wj/cflil products, farm predijcte or, have bean on aOim t ranch outtttatfieUS.: / ^ .1 am (W« are) carrying currency op^f jnatrumerc gvw $10,000 U.S., or
Bualneas F| Personal t ":^ .°J -'VL'"^''^'^'!;!-':-;-'
Yea
13.1 Have (We havo) commercial merchAxfise, U.S. of foralgn: fC/w* one tax onfi^ 1
No
No
14. The total value o) al) gooda. Including -,. cial merchandise, I/we purchased or acqL abroad and am/ara bflngjnr; lo me U.S. u: ., . ..--. (See fte JnsOUCfrans on Ihfl 6a<* of Ihts form undafJMErtCHANDrSE' and use the space provided ttieft toSstaltftt items you must daoa/t. If you have nothing to declare, write '-O-' in the space ptuvklsa above).
ON REVERSE
SIGN
aCffgtriful dedaration.
I have read the notice onjhe reverse |J
U.S. C"stpjia.uae only- QofrdLvirfite b»low this Una - U.3. Custarns Use only STAMP AREA
TIMI
^SZZ
Customs Form S059B (101B95)
|;:4^;:••?•!'. -;fe.;^4E^K ^ f:::h-: .•; j-^- ";•-;,.;•: ,;• : • •
SAC/TAMPA
02/21/2002 11:26 FAX
E1006/010
r NOTICE Th» urtiMtM Impwttiton af cortrpOed sutetarew (nansfifaa, ctiembob. prereripdon medfclmss » na« aeeompanJed by A prwcnpdon, ot) regaHtaa. of amount bj a vtolaUon nf US. tew. To pomr* Iha artiro* cBngafous agricultural pass and (VoWhteO w»2Sg,tfiBto«owr«ia ad: fiUfc. vvgetaoW ptants, plaiZpradgca. aot, moats, meat produce, Mnfc, snafe. and otter to aittnate or animal poxfaos, wfctoa and wtdlM pftrtetH. FaOtao to dadam al such toma to a Qoonu/Aflrtaaural/VflldBe nffinw can mautt h penBflfes and me tans may ba*jbJB<* to seizure. Tna bansporiaion of eunsrey or manataiy ndiunanla,,REGAHOIBS OF AMOUNT 13 LEGAL; ifyoB take 01* of offering Into tta Uroad SIMMroom«wn HO.OOOGJ.B-artoio aveiTifyoB alant, or a cemWnadan of 9vj two) In coin, oinency. iKjvstert cfieokxarbaaierlietunaitiaijAa money onlors, peraonal ar eashtaw ehacta, stocks ortapnda.yow are atftrai BY1 LW to FILE a icport on Forni 4780 win BIB U.S. Customs Qgntoa. K you hat* sornaona aho cany na curoney or irobunientt far yoi. you mua also Be *•report.fmUBE TO I=1L£ THE HHJWRED REPORT OB FAUIftE TO REPORT THE TQBL AMOUNT YOU ARE CAHHYINa VIAY LEAD TO THE SEELIHE OF flU. TH5 CURRB4CY OR INSTRUMENTS, AND MAY SUBJECT YOU TO CIVIL MERCHANDISE MSrrcvtS
r
IF YOU HAVE ANY QUESTIONS ABOUT WHAT MUST BE REPORTED OR DECLARED ASK A CUSTOMS OFFICER DESCRIPTION OF MH 1 ICCES CUSTOMS USE VALU£ (Ltiq rn& be txnttnyed on anoffwf Fern BOSOty
vN
X^ Ci
*; i ^ TOTAL|>
; Raouun AO Nococ Tn« rjbnmikxt cwdpdna on nb Mm to n*»M k> oury out mo cuBunu, AoWJlBW, and SWWHqr bM o( Jm Unlod StcM. W« ru*d Itolr»ux Ihal tmyohm »» canply^ >*hTOMB«S and O aB«i» us bflguraant oAo lh» ligtt omxrt o( <MC «J BOM. Mbgf raepma U mnUur. Tte itfanaM ivnraflo burtwi aoarbied nth Mi eotoctai e( hfetmooiti K 3 rtAmia) p«r raspgndn or m«r*o«3or rHamvJIfia on nniMud anmo&toa. Cotmona eenesmfng no aosaraw m I* bunion BsamoiB nnfl msntfcm lor OKfudnu MB twotan rfiould bo dkso«rf in UA Omorm &n*«, Po»mo* Mai»B«monl
Branai. wa»Hnjtm DC anaaa. PO Aormnn guiy^jBdiagmti n tnii OK*.
.-.- ..:..rl
TJJK3JX3nBB7-«34-«jc
Cuatan Form 30388 (lOiagSKBndc)
feirh-U, :''"•!:-' -.-f1.".
-» SAC/TAMPA
02/21/2002 11:26 FAX
MINISTERE DES FINANCES SERVICE DE LA DOUANE DES ETATS-UNIS
DECLARATION DE TRANSPORT INTERNATIONAL DE MONNAIE OU D'INSTRUMENTS MONETAIRES
12)007/010
OMB No. 1506-0014 Ca formulairo doit At/a remis au Serrici da la douane das Etats-UnK
*• Avis relatif 4 la lol sur HnvlolabllW du ««cr«l
Rampltf ilamadthcifarccutairecncaracuifvscnniprlniefle.
tf~ /7&?&?*y 4. DOMIC
ETATS-UlUlSXIU A L'ETRAN6ER
5. NATIONALFTE Ou PAYS DE NATIONALTrE
6. ADRESSE PENDANT VOTRE SEJOURAUX ETATS-UNIS
7. NUMERO DU PASSPORT £T PAYS
tf.f** B. DATE DU VISA DELIVRE PAR U£S
9. LJEU DE DELlVRANCE DU VISA DES ETATS-UNIS
10. NO D'ETRANGER IMMIGRANT
11. 31 LA MONNAIE OU D£ UNSTRUMENT MONeTAITE EST ACCOMPAGNE PAR LA PERSQNNE. COMPLETE2 11(8) 00 (b) A. EXPORTS DES ETATS-UNIS Depart da: (port ou viile das &ais-Unl&)
B. IMPORT* OES ETATS-UNIS
Arrivie S: {viUelpays atrang/tf
Afrivie i (vine des £l*tS-Unis)
?** / 12. 51 LA MONNAIE OU L1NSTRUMENT MONETAIRE EST ACCOMPAGNE PAR LA PERSONNE, COMPLETEZ 12a OU 12b 12a. DATE DE L'ENVOI
12h. DATE DE RSCEPTION
12c, METHODE DE TRASNPORT OWMOTWKI
12d. NOM DU TRANSPOKTEUR
12s. ENVOYS A (nont a! adftssef
r
^tECU DE (notn et adrasse)
It erne PARTIE
INFORMATION CONCERNANT LA PERSONNE(S) OU LA COMPAGNIE AU NOM DE LAOUELLE L'lMPORTATION OU L'EXPQRTATlON A ETC FAITE
,
13. NOM frtom d»fom/Y/e,pro/7o/n, ou dauxiame prenom ou la ftom de la compegnla)
14. AQRESSE PERMANENTE AUX ETATS-UNIS ET A LtiTRANGER.
15. TYPE DE LA COMPAGNIE, OCCUPATION OU PROFESSION
1Sa. EST-CE OU'UNE BANQUE? D OOl
ill erne PARTIE
D NON
INFORMATION SUR LA MONI>lAIE ET L' INSTRUMENT MONETAIRE (VOIR INSTRUCTION AU VERSO) (dolt Sire corrvlStaa par tous tes Interessts)
16. TYPE ET COMPTE DE LA MONNAIE ET INSTRUMENT MONETAlRg
n
Places et monnaics
17. SI TOUTE AUTRE MONNAIE OXI5 VajlLLEZREMPURLAUGNEAETB O
>• *^?,?
Auire Instrumenl momitaira (Sp6riR6 te type. ''sot/14 jfflettrfce ou autra numiro d'idantificatlon)
D
>•
(TOTAL!
a
>•
5
/?^fcr*
^
A, Nom de la monrraic
/^^ B. Pays
IV erne PARTIE
*/?%?
&*<>
^
SIGNATURE OE LA PSRSONNE QUIA COMPLETE CETTE DECLARATION
Sous pelne de parjure, je declare avoir lu la presents declaration et, en toute connaissanca de cause la declare veridique. exacte et complete. 1B. NOM at T1TRE (fcrtre en letUs d'imptjmerie) imprj
—-
19. SIGNATURTE
20. DATE DE LA DECLARATION
.
COMPTE VERIFY
Pk RESERVE AU SERVICE DE LA DOUANE SEULEMENT r ^ COMPAGNIE AERIENNE. VOLS/NAVIRE
^~\E X^Oul / Non PLAQUE 0'IMMATRICULATION ETAT/ PAYS
-~
^-^? ^-^>
^^^^^
agSlJSRATION
/ Oui /
Non
[^_ JWSPECTEUR (notneLo«fh««> W °ao9c)
NUMERO ^Z?sZ?
"^
^^
CUSTOMS FORM 4790 (04/00) (French)
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