BAHAMAS CUSTOMS DEPARTMENT Form No.C13 HOME CONSUMPTION ENTRY FOR OFFICIAL USE ONt Y VWe of SIGNATURE ENTRY NUMBER AN D DATE OF ENTRY CHECKER DATE ! IF POST ENTRY, NUMBER AND AMOUNT IMPORT -'---'--- DATE OF PREVIOUS ENTRY RECEIVED LICENCE NUMBER -- CASHIER STORAGECHARGES COUI\,'TRY OF ORIGIN COUNTRY WHENCE GOODS MODE OF Bill OF LADING OR OF GOODS CONSIGNED IMPORTATION AIRWAY BilL NUMBER DATE DAn MJMtIER OF OF OF AMOUNT 2 I 3 D£POSn RfMOVAl I~ CODE PAYAftU STATISTICAL 7 8 RATE AMOUNT OFFICIAL 5 6 GENERAL VALUE 0F OF EXOSE USE QUANTITY QUANTfTY OR DUTY DUTY TAX ONLY !NFIGURES UNIT CODE PREFERENCE $ ¢ OR TAX s ¢ $ ¢ F -.- - •...__ ._- -- ]---~- --. ~----- - --or --- j I I ----t------------------ i ---t-i-- -_j-~=~=--r- TOTALS ~ ..--.----------. RECAPITULATION $ ¢ -.----- ..-.•. --- .. - ,cis declared in this Entry, and further declare that the above particulars are DUTY EXCISE TAX . __ .'-' "''''--'.''--'-"-_.'--' STAMP TAX ){ Jil£Jerrt STORAGE CHARGES ..,' ......... ~",- •...--.. ~.'''-~- (Govt. Bonded Warehouse only) TOTAL DUTY PORT: WHARF OR STATION NAME AND ADDRESS or OWNER NAME AND ADDRESS Of BROKER ------------------,------ NAME AND ADDRESS OFSUPPllER: ROTATION NAME OF AIRCRAFT DATE OF ARRIVAL (TOBEnlJ 06VE5S£t OFFIO --- PACKAGE." 4 TARIFF HEADING AND STATISTICAL CC MARKS AND NUMBER AND NUMBERS NUMBERS OF~11'TIOfIl --- -_.. --- -------- 1--------- 1-------- .. - ~ ....,,-----~ --- ------ f-- "'--- f--' __ I ______ Total number of packages in words =c________ UMBER J PORT OR PLACfFROM EF(Trn I WHENCE ARRIVW ALLY) _ _=I , _ _~MERCI.l\L DESCRIPTION AND QUANTITY OF GOODS -----------------,- --.--------.- ..-----.• ,,"-.~---.• -.--.-- -------------------- .-..~----.----- ... -.. ---_._._---- Do hereby declare that i am/we are the Ownerls or Agent duly <i!uthmi;!.cd the Owch';;rl'i of ihe go true and complete, Declared this Day of _20 (: ~·V!}(;:J. Accepted and Signed :J)21ti::: Proper Officer (The annotated numbers refer to Notes overleaf)