TREASURY DEPARTMENT DECLARA@QN FOR FREE ENTRY OF ARTICLES AD Ertey No 2 
, COLLEGES, RELIGIOUS INSTITUTIONS, ETC. 
(Items 850.10-851.50, incl., and 852.20, Tariff Schedules of the United States) 
DECLARATION 
I, the undersigned, declare that the articles described below, in entry noted above and invoice No. --------------------------- 
were imported for the ---Mattoyrerl 
organized and operating as ».. 
located at No. ---...-.----- Stre 
(Directly or through dealer) (Date) 
I further declare, with respect to wild animals or birds, that they were specially imported pursuant to negotiations 
conducted prior to importation for the delivery of animals or birds of a named species meeting agreed specifications of reason- 
able particularity and that they are intended at the time of importation for public exhibition in a collection maintained for 
scientific or educational purposes and not for sale or for use in connection with any enterprise conducted for profit. 
I further declare, if this declaration is executed by me as dealer or agent, that the above-described articles are to be 
actually delivered to said institution and to the best of my knowledge and belief are to become the permanent property of 
the institution. 3 : | 
I further declare, if this declaration is executed by me as the representative of said institution, that said articles are 
for the sole use of said institution as its permanent property and are not to be sold, exchanged, or otherwise used or dis- 
posed of in violation of the conditions of free entry, and if otherwise used that report will be promptly made to the collector 
at port of entry and duty paid, and that said articles actually delivered to said institution on or 
(Were or were not) 
prior to 
oe (City-State-ZIP 
U.S. GOVERNMENT PRINTING OFFICE : 1964—O-736-699 
GPO 953-820 
