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Dist and Port Code: 2-47-01 Port of Entry Name: New York Term Bond No.: 32709 Importer of Record(Name and Address): W.R. Keating & Co Inc 90 Broad Street NY NY 1004 For Account of (Name and Address): Betty Parsons Gallery c/o Hague Whse 420 West Broadway NY NY Importing Bessel (Name) and Carrier: Air France FBPVF AF0015 B/L or AWB No.: 2985 2325(50) Port of Landing: Parts Country of Exportation: France Date of Exportation: 3/10/72 Type and Date of Invoice: Comm U.S. Port of Unlanding: New York Date of Imporation: 3/11/72 Location of Goods-G.O No.: Air France I.T. No. and Date I.T. From (Port) I.T. Carrier (Delivering) MARKS AND 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 L.R. TAX (6) DOLLARS CENTS A DDR ONE (1) CASE GON TG: I.V. LIT 280,000.00 001684 = $471.52 6128.48 ADD MMV $6600.00 TIL VALUE AS $6600.00 ORIGINAL SCULPTURES HAWB# X 6600 765.1500 FREE FREE NONE 299# [[underlined]] OUTSIDE EXAMINATION: - [[/underlined]] BETTY PARSONS GALLERY 2h WEST 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 XX was XX 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. [[underlined]] 3/14/72 [[/underlined]] DATE [[underlined]] W.R. KEATING & CO INC [[/underlined]] [[underlined]] WILLIAM L. BREINER AUTH-ATTY [[/underlined]] {☐Principal ☐ Member of the firm. ☐ _____________ (Title) of the corporation.☐Authorized agent CUSTOMS FORM NOY 66 7501
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