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LLOYD/DP REP# 01739 BLOCK AND FILE NO. M.O.T MANIFEST NO. FOREIGN PORT OF LADING U.S. PORT OF UNLADING Dist. and Port Code 2-47-01 ENTRY NO. AND DATE KF 19571 Port of Entry Name NEW YORK Term Bond No. 32709 Importer of Record (Name and Address) W.R. KEATING: CO ING 90 BRAOD STREET NY NY 10004 For Account of (Name and Address) BETTY PARSONS GALLERY 24 WEST 57th STREET NY NY Importing Vessel (Name) or Carrier AIR FRANCE FBJCM 1301 B/L or AWB No. 3662 9294 (14) Port of Lading PARIS Country of Exploration FRANCE Date of Exploration 3/14/72 Type and Date of Invoice GCMN U.S. Port of Unlading NEW YORK Date Importation 3/15/72, Location of Goods-G.O. No. AIR FRANCE 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) GROSS WEIGHT IN POUNDS (2a) NET QUANTITY IN T.S. U.S. ANNO. UNITS (2b) 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) DOLLARS CENTS ADDR ONE (1) CASE CONTG: I.V. F.F. 63,605, 191850 = $ 12,202.61 AS /$ 12,203.00 ORIGINAL SCULPTURES X 12,203. 765.1500. FREE FREE 6# HAWE# N ONE OUTSIDE EXAMINATION:- BETY PARSONS GALLERY 24 W 57th STREET NEW YORK NY C.O FRANCE MISSING DOCUMENTS THIS SPACE FOR CUSTOMS USE ONLY I declare that I am the [] nominal consignee and that the actual owner for customs purposes is as shown above, or [] consignee or agent of the consignee. I further declare that the merchandise [X] was or [] 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. 3/16/72 DATE W.R. KRATINGS: CO ING (Signature) WILLIAM L.BREINER AUTH-ATTY (Address) []Principal. []Member of the firm. []of the corporation. (Title) []Authorized agent. CUSTOMS form 7501 NOV 66
