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12-31-2010
TRANSPORTATION ENTRY AND MANIFEST
19 CFR 10.60, 10.61, 123.41, 123.42 Entry No.
OF GOODS SUBJECT TO CBP
Entry No. INSPECTION AND PERMIT Class of Entry
U.S. Customs and Border Protection (I.T.) (T.E.) (WD.1E) (Drawback, etc.)
Port
PORT FIRST U.S. PORT
Date CODE NO. OF UNLADING
PORT OF DATE
Entered or imported by Importer/IRS # to be shipped
G.O. No. Check if withdrawn for Vessel supplies (19 U.S.C. 1309)
CERTIFICATE OF LADING FOR TRANSPORTATION IN BOND I truly declare that the statements contained herein are true and
AND/OR LADING FOR EXPORTATION FOR correct to the best of my knowledge and belief.
Entered or withdrawn by
(Port)
WITH THE EXCEPTIONS NOTED ABOVE, THE
WITHIN-DESCRIBED GOODS WERE:
Delivered to the Carrier Laden on the--
named above, for delivery to
the CBP Port Director at
(Vessel, vehicle, or aircraft)
destination sealed with CBP To the Inspector: The above-described goods shall be disposed of
seals Nos. which cleared for--
or the packages (were) (were
For the Port Director
not) labeled, or corded
and sealed. on Received from the Port Director of the above CBP location the
(Date) merchandise described in this manifest for transportation and
as verified by export records. delivery into the custody of the CBP officers at the port named
above, all packages in apparent good order except as noted hereon.
(Inspector) (Inspector)
Total
(Warehouse proprietor)
CERTIFICATES OF TRANSFER. (If required) INSPECTED
I certify that within-described goods were trans- I certify that within-described goods were trans- at
ferred by reason of ferred by reason of on
(Date)
to to and seals found
on , at on , at