EFTA Document EFTA01598014

I S. Delon Merril .411 •lundSecurit) leenlinuslion Page for Fore) I-867A Daw May 13. 2013 Q. On your prior trips to the United States lit you engage in any kind of employment while residing in the United Staten? A. I helped my friend out at a restaurant somercinms. Q. What is the Name of your and what is tlia name restaurant? A. The restaurant is named My friends sra• was I do not know if he was the owner or if his wife was the owner. Q. What is your friend n lnnt nnmo? A. I do not know his last name. Q. How did you meet= A. I went to the restaurant ono Lime with my friend and I mot him there. Q. A. What were your duties when you helped your friend at the restaurant? I assisted the waiters and everybody else with whatever needed to bo done. Q. How much money did you receive for helping (nit at your friend a restaurant? A. It varied. Sometimes I received $50 per night. At other times I would receive $80 per night. Q. How often did you help your friend out at the restaurant? A. It was not a set schedule. I maybe helped him out five or six times. Q. When did you start helping your friend out at the restaurant? A. I started helping him out in March. Q. Hav ever worked at any other restaurant besides A. No, as the only other restaurant that I worked in. Q. Did you ever apply for or receive work authorization from United States Citizenship and Immigration Services or Customs and Horde:. Protection which would have authorized you to accept employment In the United States as a non-immigrant? A. No. Q. Did you pay any income tax on the money you received for working at the rentaurant? A. No. Q. Did you receive any kind of public benefit %Silo staying in the United States? A. I had a social security card when I was here in 2009 as a Jl. Q. How much United States currency do you have Witt you right now? A. $16.00 United States dollars (Seen, verified and returned by CBPO Yououf; CBPO Juan C. Hernandez) witnessed by Q. Do you have any medical conditions that United States Customs and Border Protection should be made aware of? A. I have a cold. Q. Aro you currently taking any prescription medication? A. I do not take any prescription medication. I do have some cold medicine though. ...(CONTINUED ON NEXT PAGE) SienMum --1/414-ted..., NI ZA.11 YOURI Title C P Form 1431 Continuation Page (Rev 118/01107) 6 Pages EFTA01598014