Port—*. 
Passenger _>! 
aBdib«aa&ittMa.«siSihaaiaMiib» 
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(Passenger will fill in) 
RECEIPT FOR DUTY AND IDENTIFICATION COUPON 
Cashier’s Stamp 
Vessel __ 
Amount due 
jsenger will fill in) 
...) - 
Customs Officer, 
NOTICE.—Immediately on landing, proceed to the letter or 
section where your baggage is placed on dock, v When all pieces 
are assembled, notify the Customs officer in charge. 
WARNING.—It is unlawful for a passenger to give, or for 
Customs employees to receive, anything of value by way of a 
gratuity or otherwise* Ofienders will be punished by fine and 
imprisonment 
Total pieces of baggage_ 
This coupon must be detached and given to or retained by passenger for identification if declaration is taken up before passenger leaves the vessel. 
2—2811 
NV 722382 
