3/6/22, 4:58 PM US Travel Requirement

Thank you, Douglas Nespoli de mello!

Confirmation Number: USCM476MAR06-042
Submission Date: March 6, 2022 at 04:58 PM

Passenger Attestation Summary

1- Passenger Attestation Requirement Relating to Proof of Negative COVID-19 Test Result or

Recovery from COVID-19

A. NEGATIVE PRE-DEPARTURE TEST RESULT

I attest that I have received a negative pre-departure test result for COVID-19. The test was a viral test
that was conducted on a specimen collected from me no more than 1 calendar day before the flight’s
departure.

2- Passenger Attestation Requirement Relating to Presidential Proclamation on Advancing the

Safe Resumption of Global Travel During the COVID-19 Pandemic

A. FULLY VACCINATED COVERED INDIVIDUALS

I attest that I am fully vaccinated against COVID-19.

Contact Tracing Information

US Flight Information

Departure Date: March 7, 2022

Flight Number: CM 476
Departure Airport: Panama City (PTY)
Arrival Airport: Denver (DEN)

Traveler Information

Name: Douglas
Last Name: Nespoli de mello
Email Address: douglasnespoli@yahoo.com.br
Phone Number: +310 2340179
Secondary Phone Number: +57 3102340179

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3/6/22, 4:58 PM US Travel Requirement

Address Information
Street Address: 1717 Champa St
City: Denver
State: Colorado
Zip Code: 80202

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