Form Approved

OMB No. 1515-0069

ENTRY/IMMEDIATE DELIVERY

19 CFR 142.3, 142.16, 142.22, 142.24

1. ARRIVAL DATE

2. ELECTED ENTRY DATE

4. ENTRY NUMBER

3. ENTRY TYPE CODE/NAME

7. BROKER/IMPORTER FILE NUMBER

5. PORT

6. SINGLE TRANS. BOND

9. IMPORTER NUMBER

8. CONSIGNEE NUMBER

10. ULTIMATE CONSIGNEE NAME

11. IMPORTER OF RECORD NAME

12. CARRIER CODE

13. VOYAGE/FLIGHT/TRIP

14. LOCATION OF GOODS-CODE(S)/NAME(S)

15. VESSEL CODE/NAME

17. MANIFEST NUMBER

16. U.S. PORT OF UNLADING

19. TOTAL VALUE

18. G. O. NUMBER

20. DESCRIPTION OF MERCHANDISE

United States Customs Service

(mm/dd/yyyy)

Any data typed after screen scrolls will not print.

United States Customs Service ENTRY/IMMEDIATE DELIVERY 19 C F R 142.3, 142.16, 142.22, 142.24 Form Approved 
O M B Number 1 5 1 5 - 0 0 6 9 Any data typed after screen scrolls will not print.

Customs Form 3461 (010189)

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