D. LIST OF ARTICLES (2) DESCRIPTION OF MERCHANDISE (3) VALUE OF COST OF REPAIRS REMStar Sleep Apnea Machine $729.00 Purchased in the US and took on trip to USVI, forgot to pack when we left island. Need in the US to sleep. Pp - The undersigned carrier, to whom of upon whose order the articles described in PART |, 8., must be released, hereby certifies that the person named in Part |, 1., is the owner or consignee of such articles within the purview of section 484(h), Tariff Act of 1930. In accordance with provisions of section 484(h), Tariff Act of 1930, authority is hereby given to release the articles to such consignee. 2. SIGNATURE OF AGENT (Print and sign) PART Vi — CERTIFICATION TO BE COMPLETED BY ALL PERSONS SEEKING FREE ENTRY ithe ined, that this declaration is correct and PART VII -- CBP USE ONLY (Inspected and Released) CBP Form 3299 (10/09) EFTA00314121