Page:United States Statutes at Large Volume 33 Part 2.djvu/986

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PARCELS-POST CONVENTION—JAPAN. June 30, 1904.
2281

Form No. 3.

Form 3.

Date stamp of dispatching exchange Post-Office.

Parcels from [country of origin.] for [country of destination.]

Date stamp of receiving exchange Post-Office. Parcel Bill No. , dated 19..; per S. S. " "

*Sheet No.

Entry No. Origin of parcel. Name of sender. Address of parcel. Declared contents. Declared value. Number of rates prepaid. Observations. Totals...

*When more than one sheet is required for the entry of the parcels sent by the mail, it will be sufficient if the undermentioned particulars are entered on the last sheet of the Parcel Bill.

Total number of parcels sent by the mail to [country of destination.]

Total weight of mail lbs.

Number of boxes or other receptacles forming the mail

Deduct weight of receptacles

Net weight of parcels

Signature of postal official at the dispatching exchange post-office.

Signature of postal official at the receiving exchange post-office.