4. Identifying Number on Original Report
5. Reporting Period of Original Report
Year
(One Quarter Only)
6. Reason for Amended Report
A.
B.
C.
(1)
(2)
(3)
(4)
(5)
OMB No. 1515-0158. For Paper Reduction Notice see Customs Form 349.
1. Identifying Number
2. Name of Company or Individual
DEPARTMENT OF THE TREASURY
United States Customs Service
HARBOR MAINTENANCE FEEAMENDED QUARTERLY SUMMARY REPORT
3. Complete Mailing Address
19 CFR 24.24
(This is a mandatory field)
Customs Form 350 (06/02)
Any data typed after screen scrolls will not print.
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