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Republic of the Philippines     )

City of Cebu                        ) S.S.

AFFIDAVIT

            I, DONG IN DANG, of legal age, Korean national, and a


resident of _____________________________, Cebu City, after
having been sworn to in accordance with law, hereby depose and
state - THAT:

1.     I am the recipient of a Fedex Express package from Seoul, South


Korea to Cebu, Philippines, with Tracking Number 012345678 and
Master Airway Bill (MAWB) No. 87654321, ETA or estimated time of
arrival on November 11, 2015;

2.     The contents of said package or parcel are exactly as described in


the Airway Bill, to wit: NEBULIZER + AIR FILTER CARTRIDGE - FOR
AIR PURIFIER with total value for Customs at US$150.00, a copy of
said Airway Bill and Commercial Invoice are attached herewith;

3.     The said items are sent as part of my personal belongings  in


connection with my business in the Philippines and for my
prescription medical care and personal needs;

4.     To my knowledge, it does not contain any illegal items or


contraband under Philippine law;

5.     I herein attest to the truth of the foregoing facts.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby affix my signature this 9th


day of November 2015 in Cebu City.
                                                                                                     DONG IN
DANG 
                                                                                         
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public for and in


Cebu City, this 9th day of November 2015 at Cebu City, affiant
exhibited to me his Korean Passport No. ABC12345678 which
expires on ____________________.

Doc. No._____;
Page No. _____;
Book No._____;
Series of 2015.

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