Page:United States Statutes at Large Volume 27.djvu/887

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864 COLTVENTION—LEEWARD ISLANDS. APRIL 3, 1889. Form No. 1. FORM 1- C n s t 0 m s declaretion. A_ Pareel—Post between the United States and the Leeward Islands. 1 : Date l lillace to wl{.ch Stamp. ro or cu ro n cunt o uddPm“0d}¤ l nu s ns a r u. 6 ***06 ` Description of E parcel: [State Total whether box, Contents. Value. Per cent. customs basket, hg, g charges. etc.] [ ___ __ _____¢ _ | s l $ 1 x ! I I I Total. l Q 3 ’

Date of posting: .. . . , 18. . ; signature and address of sender; ·'‘‘‘‘‘‘‘'·•······· · ··---- F”'I•`0r use of Post·OBce only, and to be filled up at the ofliee of exchange';"""- -`-`'°`'`` " `°`` arcel Bill No  ; No. of rates prepaid  ; Entry No ... . B. Parcel Post from the Leeward Islands. The import duty assessed bywau odleer of customs on contents of this parcel amounts to l .. , which must paid before the parcel is delivered. D Stamp. C. Parcel Pest from the Leeward Islands. This parcel has been passed by anolllcer of customs, and must be delivered Fan or Cnaueu. Date Stamp.