Unnumbered pageScan 121 of 165
Printed: INSTRUCTIONS
This form is to serve the purposes stated below, a separate copy to be presented by the importer for each of the first three purposes. 1. Card memorandum of entry to be filed alphabetically by name of owner declared in entry. 2. Receipt for duties and taxes on formal and appraisement entries when a receipt is desired by importer. 3. Application to make entry prior to production of missing document(s) and collector's missing document record. (Importer's signature required only in this case.) 4. Comptroller's missing document record—to be prepared in comptroller's office.
Printed: 16—41025-1 ☆ U. S. GOVERNMENT PRINTING OFFICE
65 figures hard to readstruck struck outadded written in above” jug ditto, and what it repeatsword reading not certain