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---
type: travel document
category: customs declaration form
person: Jiang Xianlu
date:
source: customs_jiang_xianlu.jpg
---
# 海关申报单 (U.S. Customs Declaration - Chinese Version)
**U.S. Customs and Border Protection**
19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
批准表格 OMB NO. 1651-0009
每位入境旅客或家庭负责人必须提供以下资料(每个家庭只需填写一份申报单):
| # | Field (Chinese) | Value |
|---|---|---|
| 1 | 姓 | Jiang |
| | 名 | Xianlu |
| | 中间名 | — |
| 2 | 出生日期 | 日 28 月 01 年 68 |
| 3 | 随行家庭成员人数 | 2 |
| 4(a) | 在美国的地址街名(旅馆名称/目的地) | 1652 W 6th Street Apt. R |
| 4(b) | 市 | Austin |
| 4(c) | 州 | Texas |
| 5 | 发照地(国家) | China |
| 6 | 护照号码 | E38284127 |
| 7 | 居住国 | China |
| 8 | 这次抵达美国之前曾去过的国家 | China |
| 9 | 航空公司/班机号码或船名 | HU 495 |
## 申报问题
| # | Question | Answer |
|---|---|---|
| 10 | 这次旅行的主要目的是业务出差 | 否 X |
| 11(a) | 水果、蔬菜、植物、种子、食品、昆虫 | 否 X |
| 11(b) | 肉类、动物、动物/野生动物产品 | 否 X |
| 11(c) | 疾病媒体、细胞培养体、蜗牛 | 否 X |
| 11(d) | 土壤或曾经到过农场/牧场/饲养场 | 否 X |
| 12 | 曾经非常接近(如摸过或者处理过)牲畜 | 否 X |
| 13 | 携带超过 10,000 美元或相等数额的外国货币的现金或代金 | 否 X |
| 14 | 携带商品(可供销售的物品、用于招揽订单的样品、或不属于个人用品的物品) | 否 X |
## 申报价值
| Category | Value |
|---|---|
| 15. 居民 — 总价值 | $ — |
| 来访者 — 将留在美国的所有物品(包括商品)的总价值 | $ 500 |
请阅读本申报单背面的说明。空白处供您列出所有必须申报的物品。
本人已经读过本申报单背面的重要说明,並且已如实申报。
**签名:** *(signed)*
**日期:**

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---
type: travel document
category: customs declaration form
person: Xue Fengqin
date:
source: customs_xue_fengqin.jpg
---
# Customs Declaration (English Version) - Xue Fengqin
**U.S. Customs and Border Protection**
19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
FORM APPROVED OMB NO. 1651-0009
Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required):
| # | Field | Value |
|---|---|---|
| 1 | Family Name | Xue |
| | First (Given) | Fengqin |
| | Middle | — |
| 2 | Birth date | Day 06 Month 04 Year 65 |
| 3 | Number of Family members traveling with you | 2 |
| 4(a) | U.S. Street Address (hotel name/destination) | 1652 W 6th Street Apt. R |
| 4(b) | City | Austin |
| 4(c) | State | Texas |
| 5 | Passport issued by (country) | China |
| 6 | Passport number | G49056250 |
| 7 | Country of Residence | China |
| 8 | Countries visited on this trip prior to U.S. arrival | China |
| 9 | Airline/Flight No. or Vessel Name | HU 495 |
## Declaration Questions
| # | Question | Answer |
|---|---|---|
| 10 | The primary purpose of this trip is business | No X |
| 11(a) | fruits, vegetables, plants, seeds, food, insects | No X |
| 11(b) | meats, animals, animal/wildlife products | No X |
| 11(c) | disease agents, cell cultures, snails | No X |
| 11(d) | soil or have been on a farm/ranch/pasture | No X |
| 12 | I have (We have) been in close proximity of (such as touching or handling) livestock | No X |
| 13 | I am (We are) carrying currency or monetary instruments over $10,000 U.S. or foreign equivalent | No X |
| 14 | I have (We have) commercial merchandise | No X |
## Declared Value
| Category | Value |
|---|---|
| 15. Residents — total value of all goods | $ — |
| Visitors — total value of all articles that will remain in the U.S., including commercial merchandise | $ 500 |
Read the instructions on the back of this form. Space is provided to list all the items you must declare.
**I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.**
**Signature:** *(signed)*
**Date:**

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---
type: travel document
category: customs declaration form
person: Jiang Xianlu, Xue Fengqin
date:
source: 海关申报表.pdf
---
# Page 1: 海关申报单 (Customs Declaration - Chinese Version)
**U.S. Customs and Border Protection**
19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
批准表格 OMB NO. 1651-0009
每位入境旅客或家庭负责人必须提供以下资料(每个家庭只需填写一份申报单):
| # | Field (Chinese) | Value |
|---|---|---|
| 1 | 姓 | Jiang |
| | 名 | Xianlu |
| | 中间名 | — |
| 2 | 出生日期 | 日 28 月 01 年 68 |
| 3 | 随行家庭成员人数 | 2 |
| 4(a) | 在美国的地址街名(旅馆名称/目的地) | 1652 W 6th Street Apt. R |
| 4(b) | 市 | Austin |
| 4(c) | 州 | Texas |
| 5 | 发照地(国家) | China |
| 6 | 护照号码 | E38284127 |
| 7 | 居住国 | China |
| 8 | 这次抵达美国之前曾去过的国家 | China |
| 9 | 航空公司/班机号码或船名 | HU 495 |
### 申报问题
| # | Question | Answer |
|---|---|---|
| 10 | 这次旅行的主要目的是业务出差 | 否 X |
| 11(a) | 水果、蔬菜、植物、种子、食品、昆虫 | 否 X |
| 11(b) | 肉类、动物、动物/野生动物产品 | 否 X |
| 11(c) | 疾病媒体、细胞培养体、蜗牛 | 否 X |
| 11(d) | 土壤或曾经到过农场/牧场/饲养场 | 否 X |
| 12 | 曾经非常接近(如摸过或者处理过)牲畜 | 否 X |
| 13 | 携带超过 10,000 美元或相等数额的外国货币的现金或代金 | 否 X |
| 14 | 携带商品(可供销售的物品、用于招揽订单的样品、或不属于个人用品的物品) | 否 X |
### 申报价值
| Category | Value |
|---|---|
| 15. 居民 — 总价值 | $ — |
| 来访者 — 将留在美国的所有物品(包括商品)的总价值 | $ 500 |
**签名:** *(signed)*
**日期:**
---
# Page 2: Customs Declaration (English Version)
**U.S. Customs and Border Protection**
19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
FORM APPROVED OMB NO. 1651-0009
Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required):
| # | Field | Value |
|---|---|---|
| 1 | Family Name | Xue |
| | First (Given) | Fengqin |
| | Middle | — |
| 2 | Birth date | Day 06 Month 04 Year 65 |
| 3 | Number of Family members traveling with you | 2 |
| 4(a) | U.S. Street Address (hotel name/destination) | 1652 W 6th Street Apt. R |
| 4(b) | City | Austin |
| 4(c) | State | Texas |
| 5 | Passport issued by (country) | China |
| 6 | Passport number | G49056250 |
| 7 | Country of Residence | China |
| 8 | Countries visited on this trip prior to U.S. arrival | China |
| 9 | Airline/Flight No. or Vessel Name | HU 495 |
### Declaration Questions
| # | Question | Answer |
|---|---|---|
| 10 | The primary purpose of this trip is business | No X |
| 11(a) | fruits, vegetables, plants, seeds, food, insects | No X |
| 11(b) | meats, animals, animal/wildlife products | No X |
| 11(c) | disease agents, cell cultures, snails | No X |
| 11(d) | soil or have been on a farm/ranch/pasture | No X |
| 12 | I have (We have) been in close proximity of (such as touching or handling) livestock | No X |
| 13 | I am (We are) carrying currency or monetary instruments over $10,000 U.S. or foreign equivalent | No X |
| 14 | I have (We have) commercial merchandise | No X |
### Declared Value
| Category | Value |
|---|---|
| 15. Residents — total value of all goods | $ — |
| Visitors — total value of all articles that will remain in the U.S., including commercial merchandise | $ 500 |
**I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.**
**Signature:** *(signed)*
**Date:**

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---
type: receipt
category: travel
person: Yanxin Lu
date: 2017-05-13
source: lu_receipts_aus_sfo_2017.pdf
---
# Facebook Travel Receipts (PDF)
This PDF contains two receipts from May 13, 2017, related to travel from Austin (AUS) to San Francisco (SFO). These are the same receipts as in `201705172015311000.jpg` and `201705172015311001.jpg`.
---
## Page 1: United Airlines Baggage Receipt
| Field | Value |
|-------|-------|
| Airline | United (A Star Alliance Member) |
| Issue Date | 13 MAY 2017 AUS ATO |
| Baggage Document | 0162606102313 |
| Ticket Number | 0167967079654 |
| Confirmation | FZGK7Q |
### Baggage Fees
| Description | Qty | Fees |
|-------------|-----|------|
| First Bag Fee | 1 | $25.00 |
| Second Bag Fee | 1 | $35.00 |
**Total Baggage Fees: USD $60.00**
### Payment Details
| Field | Value |
|-------|-------|
| Method of Payment | MasterCard XXXXXXXXXXX5628 |
| Cardholder Name | YANXIN LU |
| Carrier | UA |
| Routing | AUS - SFO |
| Agent Reference | GG ESC BAG |
### Excess Baggage Terms and Conditions
- All excess baggage is subject to space availability.
- Receipt for payment must be presented at bag check.
- For refunds or adjustments, see a United representative.
---
## Page 2: Schlotzsky's Receipt
| Field | Value |
|-------|-------|
| Date | 2017-May-13 17:18:28 |
| Location | THS AUS Schlotzskys CNI-1 |
| Order Number | 1068337 |
| Table | Schlotzskys 3 |
### Items Ordered
| Item | Price |
|------|-------|
| Fresh Veggie | $7.15 |
| ... Wheat | - |
| No Olives | - |
| Water Nestle 700 | $2.99 |
### Totals
| | Amount |
|--|--------|
| Subtotal | $10.14 |
| State Tax | $0.59 |
| MasterCard ****5628 | $10.73 |
| **Total Paid** | **$10.73** |
Please keep this receipt for your records. We may need it to confirm your order.

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---
type: receipt
category: misc
person:
date: 2017-08-11
source: lu_usps_shipping_2017.pdf
---
# USPS Post Office Receipt
## Post Office Location
SAN CARLOS
809 LAUREL ST
SAN CARLOS
CA
94070-3914
0567560230
(800)275-8777
**Date:** 08/11/2017
**Time:** 12:46 PM
## Items
| Product Description | Sale Qty | Final Price |
|---|---|---|
| 2 Pack Adrs Lbl (Unit Price: $0.79) | 1 | $0.79 |
| USPS Retail Ground (Domestic) | 1 | $75.46 |
| Insurance | 1 | $5.55 |
| USPS Retail Ground (Domestic) | 1 | $45.57 |
| Insurance | 1 | $2.65 |
### Shipment 1 Details
- Destination: AUSTIN, TX 78723
- Weight: 41 Lb 5.2 Oz
- Expected Delivery Day: Thursday 08/17/2017
- Insurance Amount: $400.00
- @@Label
- Tracking: 13152330000036368981
### Shipment 2 Details
- Destination: AUSTIN, TX 78723
- Weight: 17 Lb 4.2 Oz
- Expected Delivery Day: Thursday 08/17/2017
- Insurance Amount: $100.00
- @@Label
- Tracking: 13152330000036368998
## Total
**Total: $130.02**
## Payment
- Credit Card Remitd: $130.02
- Card Name: MasterCard
- Account #: XXXXXXXXXXXX5628
- Approval #: 01089P
- Transaction #: 709
## Footer
In a hurry? Self-service kiosks offer quick and easy check-out. Any Retail Associate can show you how.
Text your tracking number to 28777 (2USPS) to get the latest status. Standard Message and Data rates may apply. You may also visit USPS.com USPS Tracking or call 1-800-222-1811.
...cards available for purchase at Post Offices.
Save this receipt as evidence of insurance. For information on filing an insurance claim go to https://www.usps.com/help/claims.htm.
Order stamps at usps.com/shop or call 1-800-stamp24. Go to usps.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-USPS.
Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes.
All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for your business
NOW HIRING. Please visit www.usps.com/careers to apply.
HELP US SERVE YOU BETTER
TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE
Go to: https://postalexperience.com/Pos
840-5940-0030-001-00013-59288-02
or scan this code with your mobile device: *(QR code)*
or call 1-800-410-7420.
YOUR OPINION COUNTS
Bill #: 840-5940030-1 1359288-2
Clerk: 05

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