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  • Label 532496032

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    Piotr Jaszkowski
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    This customs declaration form details items being shipped from the US to Poland. The shipment contains a used Skagen smartwatch, used Sony headphones with a cracked headband, and used Jabra Bluetooth headphones. The total declared value of the shipment is $170. The sender certifies that the declaration is correct and that the shipment does not contain any dangerous or prohibited items.

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    This customs declaration form details items being shipped from the US to Poland. The shipment contains a used Skagen smartwatch, used Sony headphones with a cracked headband, and used Jabra Bluetooth headphones. The total declared value of the shipment is $170. The sender certifies that the declaration is correct and that the shipment does not contain any dangerous or prohibited items.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    56 views1 page

    Label 532496032

    Uploaded by

    Piotr Jaszkowski
    This customs declaration form details items being shipped from the US to Poland. The shipment contains a used Skagen smartwatch, used Sony headphones with a cracked headband, and used Jabra Bluetooth headphones. The total declared value of the shipment is $170. The sender certifies that the declaration is correct and that the shipment does not contain any dangerous or prohibited items.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CN22-CUSTOMS DECLARATION 646-431-3003

    Origin Post: Date of Mailing: F


    US POSTAL SERVICE 05/03/2021
    Category of Item
    R PIOTR S JASZKOWSKI
    Other 82 NASSAU ST
    F
    AES/ITN/Exemption
    O # 60564
    EEL_3037a
    Detailed description of contents M NEW YORK NY 10038-3703
    UNITED STATES Mailed from 81657

    Use Skagen smartwatch JADWIGA JASZKOWSKA +48664684306


    Used Sony WH-1000XM2 heaphones JAGIELLONSKA 9
    with cracked headband.
    T BL. 8
    M. 23
    User Jabra 65t bluetooth headphones
    O 97-300 PIOTRKOW TRYBUNALSKI
    POLAND

    Qty. Wgt Value HS Tariff Number


    (lbs/ozs) (US$) Country of Origin

    1 0 4 40.00 1.8 lbs


    1 0 8 100.00
    1 0 2 30.00

    1 12 $170.00 TOTAL
    I certify the particulars given in this customs declaration are
    correct. This form does not contain any undeclared
    dangerous articles, or articles prohibited by legislation or by
    postal or customs regulations. I have met all applicable
    export filing requirements under federal law and regulations. LZ 994 728 024 US
    Sender's Signature and Date
    PIOTR S JASZKOWSKI 05/03/2021
    PS Form 2976 (March 2015) Click-N-Ship Do not duplicate this form without USPS approval. This item may be opened officially.

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