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EFTA00522549
Oil . 1 • , .., 12. SIGNATURE OF APPLI APPROVED 1 14. SIGNATURE OF APPROVING CBP OFFICER See for Paperwork Reduction Act Notice. Cu oms and Border Protection Officers Report on Reverse "r al Pe /271m CBP Form 34 99 (12/16) EFTA00522551 1!llIIIIIIfl 21111 111 iii ui Entry No. Port Date 00/00/2000 TRANSPORTAT
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