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,
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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.
