Page:United States Statutes at Large Volume 36 Part 2.djvu/739

 2 188 PARCEL-POST CONVENTION—DUTCH GUIANA. Am:. 9,/28, 1909. Form No. 1. Foms N0. 1. A. Parwl Post between the United States and Dutch Guiana. Date 4 Place to which FORM OF CUSTOMS DECLARATION. the Jmrcel ls stamp. ad ressed. Dwcri lo I parce1?ESt1;at:s · * Total whether box, • Contenu. Value. Per cent. customs basket, bag, charges. etc.] Total, ____ Dateofpcsting ,. 19-. sigmtureandaddnss otsender {:·:·;:·;;: ·-· Z ·-·- a@Foruse of Postromce 0nlNv, aud tobeillled up attheodioeotexcbaugez ''`'`'`'`'` Parcel Bill No. ... ; o. otratesprepald ; Entry No ..,,,.,, B. (Gouutry of origin) Parcel Post from The import duty assessed by an oEcer ol customs on contents ot this parcel amounts Date to, which must be pmd before the parcel is delivered. stamp. C. Co t I rl Parcel Post from..§...\T.H?..?.H{.. This parcel has been passed by an omoer of customs and must be delivered Date Fam: or Canoe. stamp.