Approved through OMB No. 1515-0158
2. Name of Company or Individual
DEPARTMENT OF THE TREASURY
United States Customs Service
HARBOR MAINTENANCE FEE
QUARTERLY SUMMARY REPORT
3. Complete Mailing Address
U.S. CUSTOMS SERVICE
P.O. BOX 70915
CHICAGO, IL 60673-0915
Form Assistant
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Go to Form Assistant Page (1-3):
(This is a mandatory field)