I hereby make application for a special permit for the immediate delivery of the articles described above.

I declare that unusual loss or inconvenience as described below will result from delay in delivering the merchandise described above, the quantity and value of which, to the best of my knowledge, information and belief, are truly set forth above, and that immediate entry thereof cannot be made for the following reasons:

*Give a full and explicit statemen: of the facts in the case.

PERMIT

SIGNATURE OF OWNER, CONSIGNEE, OR AGENT

Permission is hereby given to release th cles described above after due examination has been made, or samples taken.

IMPORTERS STATEMENT OF VALUE OR THE PRICE PAID IN THE FORM OF AN INVOICE

Not being in possession of a special or commercial seller's or shipper's invoice I request that you accept the statement of value or the price paid in the form of an invoice submitted below:

Name of shipper_

Name of seller

Name of consignee

Name of purchaser

me.

address

address

address

address

The merchandise (has) (has not) been purchased or agreed to be purchased by The prices, or in the case of consigned goods the values, given below are true and correct to the best of my knowledge and belief, and are based upon: (check basis with an "X")

) as per order dated by cable

(a) The price paid or agreed to be paid
(b) Advices from exporter by letter (
(c) Comparative values of shipments previously received
(d) Knowledge of the market in the country of exportation
(e) Knowledge of the market in the U.S. (if U.S. Value)
(f) Advices of the District Director of Customs (

(g)

) dated

dated

Check which of the charges below are and which are not included in the prices listed in columns "D" and "E":

Country of Origin

If any other invoice is received, I will immediately file it with the Port or District Director of Customs.

Signature of person making Invoice:

Title and Firm Name:

APPENDIX C

CENSUS PUBLICATIONS AND TABULATIONS

FT 900

FT 985

FT 986

FT 990

FT 135

FT 800

Summary Reports

Export and Import Merchandise. Seasonally Adjusted
and Unadjusted Data.

Waterborne Exports and General Imports. Trade Area,
District, Port, Type Service and U.S. Flag.

Airborne Exports and General Imports. Shipping Weight and Value, Customs District and Continent.

Highlights of Exports and Imports. Seasonally Adjusted and Unadjusted Data, Commodity, Country, Customs District, Method of Transportation.

Monthly Reports

General Imports, Customs, f.a.s. and c.i.f. values,
Schedule A Commodity by Country.

Puerto Rico and U.S. Possessions. Monthly issues contain current monthly data only. Annual data published separately.

FT 150

FT 246

IM 145

IM 145-X

Annual Reports

General Imports. Schedule A Commodity Groupings,
World Area, Country, and Method of Transportation.

Imports for Consumption and General Imports. TSUSA
Commodity andd Country.

Monthly Tabulations

TSUSA Schedule by TSUSA commodity by unit control by
country of origin by Customs district by rate provi-
sion by type by economic class and method of trans-
portation. Current month. Annual data in IA 245,

Part 1.

U.S.

TSUSA

(Customs, f.a.s., and c.i.f. Import Values)
Imports for Consumption and General Imports.
Schedule by TSUSA Number by Unit Control by Country of
Origin by Customs District by Rate provision by Type
by Economic Class for All Methods of Transportation
Combined. Annual Data in IA 245-X.