If more space is required, use continuation sheet, Customs Form 6063—Cont. 
Customs Form 6063 
TREASURY DEPARTMENT 
April 1950 
Form approved. 
Budget Bureau No. 48-R263.1. 
BAGGAGE DECLARATION AND ENTRY 
(BEFORE FILLING OUT THIS DECLARATION, READ 
CAREFULLY INSTRUCTIONS ON BACK OF THIS SHEET) 
N? 8133866 
Port MIAML...FLA.,_ Arriving by PANAQ.R A„J\L 
a» \ . i i (Name of vessel, or registration marks of aircraft) i 
I, _, declare that my home address is _ 
j / 0 1/ yo » lr nan J e ) i i C h (Street an ® number) 
—_; that I am a resident of the country of___ 
(City, Zone, and State) * 
since-.. 19 -; that I am a citizen of. LLi.JSLiI:.. __; that I last left the United 
States from _ on JDeC. ./7 , 1»53 ; and that 1 am accompanied by the following 
members of my family and household: aci <yCfi. W&y)Tie >?€__ — _ W .JjfC._ _____ _____ 
(Names and relationship by blood, marriage, or adoption) 
Total pieces of baggage; Date of last previous arrival in the United States_ sTmIvt 3__, 19&3. 
(Read carefully the instructions on other side of this form and the 
declarations below) 
DESCRIPTION OF ARTICLES 
(Gegenstande) (Articles) (Articoli) (Artfculos) 
(ARTICLES OBTAINED FOR USE OF AND 
ACCOMPANYING PASSENGER) 
PRICE 
PAID, OR 
FAIR 
VALUE IF 
GIFTS, 
ETC. 
FOR CUSTOMS OFFICER’S NOTATIONS ONLY 
(Nur fiir Bemerkungen der Zollbeamten) (Pour les employes de la douane seule- 
ment) (Da riempirsi solamente dagli ufficiali di dogana) (Solo para las anota- 
ciones de los empleados de aduanas) 
Value 
Rate 
Duty 
. u 
Lsi-W-CX .C-Viwt Sli _ | _ g o_li: v UhA _ A iliYm _ A _ 
1.22uS.D. 
. MSo 
......MS' 
2, Qftjcl PmS 1 Woodcw frhw £ $1^ _ 
...M3S 
_ 
i,0t 
_ 
-.-/-IM. 
gteagg* CAUTTON! LIST ARTICLES NOT ACCOMPANYING YOU IF FREE 
W** ENTRY UNDER RESIDENT’S EXEMPTION IS TO BE CLAIMED. 
/ C*sV»e>v\ CfcVeY ) lsiDftY^>i'n 3*3 
-X/ttAlA-YV— VVfecKW-C __ _ 
s i.io 
Z--0.0. 
/ 
c 
# Zt 1SS 
ARTICLES FOR OTHER PERSONS OR FOR SALE 
t-SH-lto 
NUMBER OF CONTINUATION SHEETS ATTACHED o ns. 
Cashier’s Stamp 
TOTAL DUTY OR FINE $: 
DECLARATION OF NONRESIDENT OF THE UNITED STA 
I further declare that all articles contained in my baggage or on my person that are 
for sale, business purposes, gifts, or the use of others, or those articles which are not 
strictly personal effects, together with the purchase price or fair value if not obtained' 
by purchase, are listed above. 
(Signature) 
(ADDRESS IN THE UNITED STATES) 
Declared to before me ---, 19_and 
baggage examined and found correct unless otherwise noted. 
Number of packages examined _____and number of 
stamps used_ r_ _ __ ___ , Inspector . 
Baggage stamps Nos. -.-...-. 
DECLARATION OF RETURNING UNITED STATES RESIDENT 
I further declare that all articles contained in my baggage or on my 
person, or in baggage or on the persons named above, however obtained 
abroad, together with the purchase price, or fair value for articles not 
obtained by purchase, are listed above; that such articles unless otherwise 
noted, were acquired incidental to the trip; that they are for the personal 
use of the persons named above, and that neither I nor any person for 
whom this declaration is made has received the $200 exemption within 30 
days, or an exemption in excess of this amount within 6 months, except 
(Signature) 
VALUE AND DUTY AS NOTED ABOVE 
16 — 23903-9 
Appraiser * 1 s Examiner. 
_ Acting Deputy ColVr. 
Port 
MIAMI FLA. 
Passenger $/eX<lY\ Vict im 0 / 7 
l muwk n 
RECEIPT FOR DUTY AND IDENTIFICATION COUPON 
(Cashier’s stamp) 
Conveyance 
(Passenger will fill in) 
.-) - 
Customs officer. 
NOTICE.—Immediately on landing, proceed to the letter or 
section where your baggage is placed. When all pieces are assem- 
bled, 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. Offenders will be punished by fine and 
imprisonment. 
Total pieces of baggage . _ 
iGr" 
‘£6 
This coupon must be detached and given to or retained by passenger for identification if declaration is taken up 
before passenger leaves the conveyance. 
QO 
