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    CBP Form 6043

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    Keller Brown Jnr
    This document is a delivery ticket from U.S. Customs and Border Protection detailing the delivery of goods from Central Illinois Regional Airport that arrived at Incheon International Airport in Incheon, South Korea. The goods included one trunk box in a consignment weighing 15,025 kilograms that was delivered to Baek Kyung-ja by courier WFDC Courier & Logistics. The delivery was received in good condition by customs officials Gonzalo Martin and Ivan Solis on March 27th and 28th, 2022 respectively.

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    CBP Form 6043

    Uploaded by

    Keller Brown Jnr
    143 views1 page
    This document is a delivery ticket from U.S. Customs and Border Protection detailing the delivery of goods from Central Illinois Regional Airport that arrived at Incheon International Airport in Incheon, South Korea. The goods included one trunk box in a consignment weighing 15,025 kilograms that was delivered to Baek Kyung-ja by courier WFDC Courier & Logistics. The delivery was received in good condition by customs officials Gonzalo Martin and Ivan Solis on March 27th and 28th, 2022 respectively.

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    This document is a delivery ticket from U.S. Customs and Border Protection detailing the delivery of goods from Central Illinois Regional Airport that arrived at Incheon International Airport in Incheon, South Korea. The goods included one trunk box in a consignment weighing 15,025 kilograms that was delivered to Baek Kyung-ja by courier WFDC Courier & Logistics. The delivery was received in good condition by customs officials Gonzalo Martin and Ivan Solis on March 27th and 28th, 2022 respectively.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    143 views1 page

    CBP Form 6043

    Uploaded by

    Keller Brown Jnr
    This document is a delivery ticket from U.S. Customs and Border Protection detailing the delivery of goods from Central Illinois Regional Airport that arrived at Incheon International Airport in Incheon, South Korea. The goods included one trunk box in a consignment weighing 15,025 kilograms that was delivered to Baek Kyung-ja by courier WFDC Courier & Logistics. The delivery was received in good condition by customs officials Gonzalo Martin and Ivan Solis on March 27th and 28th, 2022 respectively.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    OMB APPROVAL NO.

    1651-0081
    DEPARTMENT OF HOMELAND SECURITY EXPIRES: 11-30-2022

    U.S. Customs and Border Protection

    DELIVERY TICKET
    19 CFR 4.34, 4.37, 19.9; 19 USC 1551a, 1565
    PORT ENTRY NUMBER (IT, G.O., Detention, SZ, Other, Describe)
    ILLINOIS INT'L PORT 7654-6700-21256
    GOODS DELIVERED TO DATE OF ENTRY
    TRANSFER CARTAGE x RELEASE
    Incheon Int’l Airport,272 Gonghang-ro
    GOODS DELIVERED FROM (Pier, Station, Airport, etc.) 03/23/2022
    Central Illinois Regional Airport Street Address DATE OF ARRIVAL
    at Bloomington-Normal Jung-gu Incheon 22380
    City State Zip Code 03/27/2022
    NAME AND ADDRESS OF CONSIGNEE AIR WAYBILL OR BILL OF LADING NO.
    Baek 300775509021004-4218155
    Last Name NAME OF IMPORTING CARRIER (If Airline, Give Airline and Flt. No.)
    Kyung-ja WFDC COURIER & LOGISTICS
    First Name M.I LIEN NO. DATE OF LIEN LIEN FILED BY
    1527-11,Juan 8-dong 21256 01/12/2022 GONZALO MARTIN
    LIEN SATISFIED (19 USC 1564)
    Street Address
    DATE
    Nam-gu Incheon 21629
    City State Zip Code 03/12/2022 x ENTRY SALE DESTROYED

    MARKS AND NUMBERS


    CONT. NUMBER, PIECE COUNT DESCRIPTION OF MERCHANDISE CONDITION, WEIGHTS, ETC.

    1 TRUNK BOX (CONSIGNMENT) OWNERSHIP- 15,025KG

    TOTAL NO. OF PACKAGES / UNITS SIGNATURE OF CONSIGNEE

    1
    Delivered in good condition except as noted Received in good condition except as noted
    QUANTITY DISCREPANCIES NOTE HERE:

    ONE TRUCK OF CONSIGNMENT BOX - parcel number 87/0000/5366 and Serial number ZT9/909/2020
    VEHICLE LICENSE PLATE NUMBER CUSTODIAL BOND NUMBER OF DELIVERING PARTY (19 CFR 113.63)

    CD 80519 OCS Y - 0943-1


    C.H. LICENSE NUMBER TRUCK NUMBER COMPANY NAME

    94-6171335 042 WFDC COURIER & LOGISTICS SERVICE


    SIGNATURE OF CARTMAN/ LIGHTERMAN/ COMMON CARRIER
    (Sign in ink)
    DELIVERING CBP OFFICER DATE TIME RECEIVING CBP OFFICER DATE TIME

    GONZALO MARTIN 03/27/2022 11:48PM Ivan Solis 03/28/2022 10:45AM


    DELIVERING PROPRIETOR RECEIVING PROPRIETOR

    DIPLOMAT GONZALO MARTIN Kenneth A. Abraham


    Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this
    information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0081. The estimated
    average time to complete this application is 20 minutes. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border
    Protection, Office of Regulations and Rulings, 10th Floor, 90 K Street NE, Washington DC 20229-1177.

    CBP Form 6043 (7/21) Page 1 of 1

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