Form approved
O.M.B. No. 1515-0051
ENTRY AND MANIFEST OF MERCHANDISE FREE OF DUTY, CARRIER'S CERTIFICATE AND RELEASE
19 U.S.C. 1433, 1484, 1498; 19 CFR 123.4, 143.23
The undersigned, as the importer of merchandise described below, which arrived at the port or station identified, hereby claims free entry therefore under the provisions of the applicable law indicated.
4. VESSEL OR OTHER CONVEYANCE
6. COUNTRY OF EXPORTATION
DEPARTMENT OF THE TREASURY
United States Customs Service
Customs Form 7523 (052496)
Form Assistant
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