If there is insufficient space for fully answering any question (necessary for full consideration of application) supplemental 
typewritten sheets should be attached to EACH COPY of the application. 
(13) Send license to: -x;-;j- 
Address....-. "Tchv>—. 
(Street) (City) 4 
(14) If any other application covering the material described has been filed, give-- 
__ and check the reason for filing this application: □ Appeal for higher preference rating; 
(Applicant’s reference number) , ., / , , \ 
□ Application returned for correction; □ Renewal; other reason (state reason) . 
(State) 
(Csse or lioense number) 
(15) If (6), (7), or (8) is a subsidiary or an affiliate of an American firm, state which and explain: 
(16) (a) Check method of shipment from port of exit: □ Water; □ Railroad; □ Air; □ Motor Transport; □ Parcel Post. 
(6) Range of ports through which would ship (indicate preference 1st, 2d, 3d): □ Atlantic; D Gulf; □ Pacific. (If 
changed, no amendment necessary.) 
(17) Answer either (a) or ( b ) 
(а) If applicant is a manufacturer and has filed statement of export prices with O. P. A. for commodities listed in question 
(11) indicate date such prices were filed-- 
(б) To show conformity with the Revised Maximum Price Regulations, state with regard to each-article or material (per unit 
when possible): (i) Basic domestic price, $----; Check applicable basic domestic price used: □ Cost of 
acquisition; □ Maximum price applicable to current sale to export seller by his supplier; □ Maximum price applicable 
to domestic sale by export seller; □ Other price authorized by the Regulation (specify)---- 
(ii) Premium (if any), $___ (iii) If premium or price is affected by terms of payment, state terms- 
(18) If there is any arrangement whereby the licensee, seller, consignor or supplier receives consideration which exceeds the 
amount stated in the answer-to question No. (12), explain-—_---- 
(19) (a) State connection of applicant with this shipment, i. e., broker, agent, manufacturer, etc.- 
(6) (Mark X where applicable) Material is not yet produced □; Material is in production □; Material has been produced □. 
(c) If not manufacturer, state name of supplier--— ------- 
Address______ 
(Street) (City) „ . - (State) . , 
(20) Describe fully the specific use of the material to be exported or the products to be manufactured from it, including statement of 
type of business in which the material is to be used. (The “use” of the material will be an important factor in the issuance 
of a license and a shipping rating.) See instruction (m) on back of original. 
5 rolls K-135, 35 mm. Kodachrome still film, 13 exposures. 
6 rolls EX-135, 35 mm. Panatomic X film, 13 exposures. 
This film is to be taken as personal baggage 
by applicant who is going on an official mission to 
Panama. The film is to be returned to the United 
States. 
(21) If the article or material covered by this application has been (or is being) manufactured to specifications which make it 
unusable or unsalable in the United States or if for any reason there is no domestic market for this material, explain fully. 
(22) If this is an application to export to any of the SELECTED DESTINATIONS listedl inthe 
Schedule, list all types ot insurance covering the consignment and give names and addresses of all insuring compan es. 
(Name) 
(Street) 
(City) 
(State or country) 
IS 
The undersigned certifies that the facts herein set forth and appended are ferae to hta best knowledge^ o ^d h b e feLthaL except as 
„ expressly stated elsewhereon this application, to hiS best kpow_e ai ® e g 1 1 ° cked Nationals”’or to any agent, representative or member 
to any person whose name appears on 1 he - .^’^^rchase or service connected with the exportation of this com- 
of the immediate family .of any such person, by reason of t tie fc>ale, pu j fu;* ftnnlipqfirm is owned or controlled hv a 
modify ; and that, to his best knowledge, neither the consignee nor purchaser named m tills application is ownea or coni i • 
national of any country with which the United States is at war, or by any person, corporation partnership, association or any other 
organization of any type which is subject to the jurisdiction of any country with which the United States is at war. 
Applicant_.. 
A # jj etingre f 
Assistant Secretary, Smithsonian Institution* 
SIGN HERE IN INK By......____ 
(Signature and title of applicant, authorized officer, or authorized employee) 
Any false statement, knowingly or willfully made in connection with this license application, is 
punishable by a maximum of 10 years' imprisonment, or $10,000 fine, or both. 
U. 8 COVEtNMENT PRINTING OFFICE !•- 27481 “* 
