Form 3461 ALT 3461 ALT Entry/Immediate Delivery ALT

o*'B
No.l65l{x}
g.f-jF,tlFIl5,|}JI-i?!ii,H.i3EtY,TJt

DELIVERY
ENTRYIIMMEDIATE
19 CFR

142.3, 112.16, 142.22,

Exp. XX-XX-XXXX

142.24

EEieEg:E?
llil
lll
lll
ll|il
llll
llil
llil
llil
llil
ilil
ilil
llil
ilil|||
c00-0000000-7

lll
ffi
ilil
llll
llil
llil
ilil
llil
llil
llil
llil
I||tilt
ilril
c00-0000000-7

!BP
; EAHg-f

EIgE
Egipc

1. ULTIII'IATECONSIGNEENO.

2. IMPORTERNO.

,I. ULTIMATE CONSIGNEE NO.

EE?iEiiEi ffi
iaEgEEgEi3
8. STATION

3. HTSUSNO.

7. TOTAL INVOICE VALUE

2. IMPORTER NO.

o
o)
9, NO.OFPKGS.

G'

ffi

5

I hereby make application for entry/immediats dellvery. I cortlfy that
tho informatlon provided 13accurate, the bond ls sufflciont, valld, and
current, and that all roqulroments of'19 CFR Part 142 havo beon met.

c

(0
tt
GI'

E
o
lr
q
E

o