Unnumbered pageScan 124 of 165
[printed: Customs Form 7501 TREASURY DEPARTMENT 8.27, 8.51, 10.1, 10.91, C. R. Oct. 1953]
CONSUMPTION ENTRY BUREAU OF CUSTOMS
[printed: Form approved. Budget Bureau No. 48-R217.4.] COLLECTOR'S COPY [ ] COMPTROLLER'S COPY [ ] STATISTICAL COPY [ ]
DISTRICT No. [printed: 11] PORT CODE No. -------- DATE 9/23/54
PORT OF Philadelphia, Pa., Date of sailing -------- Port of unlading -------- (Above information to be furnished only when merchandise is imported by vessel)
B/L NoM/N 835727 Importer of record University Museum, 33rd & Spruce Sts., Phila., Pa. (Name) (Street number, city, zone number, and State) For account of " " (Name) (Street number, city, zone number, and State) Imported on the H. S. Matt 835727 Flag -------- On 9/23/54 Via -------- (Name of vessel or carrier and motive power) (Date imported) (Last foreign port) Exported from Cyprus on [blank] (Country) (Date) Consular invoice Proforma (Place, number, and date certified)
In-Bond Entry No. -------- From Port of -------- Via -------- (Bonded carrier)
Entry No. -------- Term Bond No. -------- G. O. No. --------
| (1) MARKS AND NUMBERS OF PACKAGES COUNTRY OF ORIGIN OF MERCHANDISE | (2) DESCRIPTION OF MERCHANDISE, NUMBER AND KIND OF PACKAGES (Describe in tariff terms in enough detail to permit classification according to Schedule A) | (2a) GROSS WEIGHT IN POUNDS (see Note 1) | (2b) SCHEDULE A COMMODITY NUMBER | (2c) NET QUANTITY IN SCHEDULE A UNITS (state units) | (3) ENTERED VALUE IN U. S. DOLLARS (see Note 2) | TARIFF (4) PARAGRAPH | TARIFF (5) RATE | DUTY (6) DOLLARS | DUTY (6) CENTS |
| Add. 1/2 | 2 Pkgs. As Antiques, Other | 5 | 9640.900 | $3400. | 1811 | Free | Free | ||
| Invoice Value $3400 . | |||||||||
| c/o Cyprus |
Number of invoices -------- W. H. Entry No. -------- NOTE 1.—In column number (2a), insert "Gross Weight in Pounds" immediately below the description of merchandise. If gross weight is not available for each Schedule A item included in one or more packages, insert approximate shipping weight for each Schedule A item. The total of these estimated weights should equal the actual weight of the entire package or packages. NOTE 2.—The entered value shown for free or specific-rate merchandise must not include nondutiable charges.
SIGNATURE University Museum, PER ADDRESS 34th & Spruce Sts., Phila.
65 figures hard to readstruck struck outadded written in above” jug ditto, and what it repeatsword reading not certain