DEPARTMENT OF HOMELAND SECURITY
OMB No. 1651-0003 Exp. 12-31-2010
U. S. Customs and Border Protection TRANSPORTATION ENTRY AND MANIFEST OF GOODS SUBJECT TO CBP INSPECTION AND PERMIT
Entry No. Class of Entry (I.T.) (Wd. T.) (Wd. Ex.) (T.E.) (Drawback, etc.) Marks and Numbers of Packages Description and Quantity of Merchandise, Number and Kind of Packages (Describe fully as per shipping papers) Gross Weight in Pounds Value (Dollars only) Rate Duty
CONTINUATION SHEET
THIS FORM MAY BE PRINTED BY PRIVATE PARTIES PROVIDED IT CONFORMS TO THE OFFICIAL FORM IN SIZE, WORDING, COLOR, AND ARRANGEMENT.
See CBP Form 7512 for Paperwork Reduction Act Notice
CBP Form 7512A (03/08)
INSPECTOR'S REPORT OF DISCHARGE AT DESTINATION
Port Station Date
To the Port Director of CBP: Delivering Line
Car No.
Initial
Arrived
Condition of Car
Of Seals
Of Packages
Date of Delivery to Importer or General Order
Packages
No. and Kind of Entry or General Order
Bonded Truck or Lighter No.
Conditions, Etc.
I certify that the above report is correct.
Inspector's Name: Signature: X
CBP Form 7512A (03/08)(Back)