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WL/DF
REF# 01739

COMSUMPTION ENTRY
BUREAU OF CUSTOMS

TEMP. IMPORT/

RECORD COPY ˆ
CASHIER'S COPY ˆ

This Space For Census Use only
[[2 column table]]
| BLOCK AND FILE NO. | M.O.T. |
|   | MANIFEST NO. |

Form approved.
Budget Bureau
No. 48-217.6.

This Space For Customs Use Only
ENTRY NO. AND DATE
K 5975 (3-31-72)

FOREIGN PORT OF LADING   U.S. PORT OF UNLADING   Dist. and Port Code 2-47-01   
Port of Entry Name NEW YORK   Term Bond No. T.I.B.

Importer of Record (Name and Address)
BETTY PARSONS GALLERY 24 WEST 57TH STREET NY NY

For Account of (Name and Address)
S AMB SAMB

[[4 column table]]
| Importing Vessel (Name) or Carrier AIR FRANCE FBJCM 1301, | B/L or AWB No. 662 9294 (14) | Port of Lading PARIS | L.T. No. and Date |
| Country of Exportation FRANCE | Date of Exportation 3/14/72 | Type and Date of Invoice COMM | L.T. From (Port) |
| U.S Port of Unlading NEW YORK | Date of Importation 3/15/72 | Location of Goods--G.O. No. BETTY PARSONS GALLERY | L.T. Carrier (Delivering) |

[[8 column table]]
| MARKS & NUMBERS OF PACKAGES COUNTRY OF ORIGIN OF MERCHANDISE (1) | DESCRIPTION OF MERCHANDISE IN TERMS OF T.S.U.S. ANNO., NUMBER AND KIND OF PACKAGES (2) |   |  ENTERED VALUE IN U.S. DOLLARS (3) | T.S.U.S. ANNO. REPORTING NO. (4) | TARIFF OR I.R.C. RATE (5) | DUTY AND I.R. TAX (6) |   |
|   | GROSS WEIGHT IN POUNDS (2a) | NET QUANTITY IN T.S.U.S ANNO. UNITS (2b) |    |   |   |   | DOLLARS | CENTS |
| ADDR | ONE (1) CASE CONTG: |   | I.V. F.F. | 63,605 @ | 191850= |   |   |
|   |   |   |   | $12,202.61 |   |   |   |
|   | JEWELRY (SCULPTURED) |   | AS | $12,203.00 |   |   |   |
|   | IMPORTED OFR THE PURPOSE OF TAKING ODERS, NOT FOR SALE | X | 12,203 | 864.2000 |   | FREE | FREE |
| HAWB# NONE | 6# |   |   |   |   |   |   |
|   | ALTERNATE RATE:- $12,203 @ 12% (740.1020) DUTE $1464.36 |   |   |   |   |   |   |
|   | SUBTITUTING FOR ENTRY K-19571, 3/16/72 |   |   |   |   |   |   |
|   | OUTSIDE EXAMINATION:- BETTY PARSONS GALLERY 24 WEST 57TH STREET NEW YORK NY |   |   |   |   |   |   |
| C.O FRANCE |   |   |   |   |   |   |   |

MISSING DOCUMENTS   THIS SPACE FOR CUSTOMS USE ONLY

I declare that I am the ˆ nominal consignee and that the actual owner for customs purposes is shown above, or ˆ consignee or agent of the consignee. I further declare that the merchandise ˆ was or ˆ was not obtained in pursuance of a purchase or agreement to purchase. I also include in my declaration all the statements in the declaration on the back of this entry.

BETTY PARSONS GALLERY   DATE
(Signature)
(Address)

ˆ Principal.
ˆ Member of the firm
ˆ (Title) of the corporation
ˆ Authorized agent

CUSTOMS   FORM NOV 66   7501