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BLH 0043182-9 01 ABI/A 04/06/2015
03/26/20153801367 8
SAME
REPUBLIC NATIONAL DISTRIBUTING CDIV REPUBLIC NATIONAL DISTRIBUTING 8201 STAYTON DR
20-5543506JS
CA 03/24/2015
XO
CMFH2729280X
31
XOHIRWAL2072WIN
CMFH
3801
03/24/2015
JESSUP MDMD
341
H726-AMBASSADOR BRIDGE CARGO
20794City State Zip
25. Ultimate Consignee Name and Address
City State Zip
26. Importer of Record Name and Address
21. Location of Goods/G.O. No.
16. I.T. No.
12. B/L or AWB No.
8. Importing Carrier 9. Mode of Transport
13. Manufacturer ID
17. I.T. Date
22. Consignee No.
18. Missing Docs
1. Filer Code/Entry No.
4. Surety No. 5. Bond Type 6. Port Code
2. Entry Type 3. Summary Date
7. Entry Date
11. Import Date
15. Export Date
10. Country of Origin
14. Exporting Country
19. Foreign Port of Lading
23. Importer No.
20. U.S. Port of Unlading
24. Reference No.
27. 28. Description of Merchandise29. 30. 31.
32.
A. Entered ValueB. CHGSC. Relationship
33.A. HTSUS RateB. AD/CVD RateC. IRC RateD. Visa No.
34.Duty and I.R. TaxDollars Cents
No. B. AD/CVD Case No. B. Manifest Qty. HTSUS UnitsLine A. HTSUS No. A. Gross Weight Net Quantity in
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border ProtectionENTRY SUMMARY
Form Approved OMB No. 1651-0022EXP 08-31-2014
Version: 001.00ACE
M 2729280X 1288 CS NOT RELATED INVOICE 00001 HIRAM LIQUEUR 001 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 923 161.28PFL 1030 (161.2800 PFL) C91 FREE 0.00 IRT 2.203198/P 355.33 MERCHANDISE PROCESSING FEE 0.3464% 3.57
------- ---------- 1030 CARRIED FORWARD 358.90
X
22,632.00
78.40
0.00
12657.07
78.40
12735.47
03/26/2015
MPF 499 78.40
Cahill & Dunn CHB, Inc.
Cahill & Dunn CHB, Inc.2387 School StreetPO Box 200Culleoka, TN 38451 931-683-1112
CBP Form 7501 (06/09)
X
CBP USE ONLY TOTALSTotal Entered ValueOther Fee Summary for Block 39 35.
$A. LIQ CODE B. Ascertained Duty 37. Duty
Total Other Fees
$REASON CODE 38. TaxC. Ascertained Tax
D. Ascertained Other 39. Other36. DECLARATION OF IMPORTER OF RECORD (OWNEROR PURCHASER) OR AUTHORIZED AGENT
40. TotalE. Ascertained TotalI declare that I am the importer of record and that the actual owner,ownerpurchaser, or consignee for CBP purposes is as shown above, OR
was obtained pursuant to a purchase or agreement to purchase and that theor purchaser or agent thereof. I further declare that the merchandise
OR was not obtained pursuant to a purchase or agreement to purchase and the statements in the invoices asprices set forth in the invoices are true,to value or price are true to the best of my knowledge and belief. I also declare that the statements in the documents herein filed fully disclose to the bestof my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that allgoods or services provided to the seller of the merchandise either free or at reduced cost are fully disclosed.I will immediately furnish to the appropriate CBP officer any information showing a different statement of facts.
DATESIGNATURETITLE41. DECLARANT NAME
42. Broker/Filer Information (Name, address, phone number) 43. Broker/Importer File No.
A.I.F.
0043182/93306JS
EDITRADE RECORD
Page:
ENTRY SUMMARY CONTINUATION SHEET
OMB No. 1651-0022
1. Filer Code/Entry No.DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border ProtectionBLH 0043182-9
27. 28. Description of Merchandise 32. 33. 34.
Duty and I.R. Tax
LineNo.
A. HTSUS No.B. AD/CVD Case No.
A. Gross weightB. Manifest Qty.
Net Quantity inHTSUS Units
29. 30. 31.
C. RelationshipB. CHGSA. Entered Value
D. Visa No.C. IRC RateB. AD/CVD Rate
A. HTSUS Rate
Dollars Cents
2
EXP 08-31-2014
BROUGHT FORWARD 1030 358.90 002 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 4693 1134PFL 5238 (1134.0000 PFL) C463 FREE 0.00 IRT 2.203198/P 2498.43 MERCHANDISE PROCESSING FEE 0.3464% 18.14
003 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 203 56.7PFL 226 (56.7000 PFL) C20 FREE 0.00 IRT 2.203198/P 124.92 MERCHANDISE PROCESSING FEE 0.3464% 0.78
004 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 201 45.36PFL 225 (45.3600 PFL) C20 FREE 0.00 IRT 2.2930169/ 104.01 MERCHANDISE PROCESSING FEE 0.3464% 0.78
005 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 7290 1990.8PFL 8137 (1990.8000 PFL) C719 FREE 0.00 IRT 2.203198/P 4386.13 MERCHANDISE PROCESSING FEE 0.3464% 28.19
006 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 6781 2116.8PFL 7569 (2116.8000 PFL) C669 FREE 0.00 IRT 2.203198/P 4663.73 MERCHANDISE PROCESSING FEE 0.3464% 26.22
007 LIQUEURS&CORDIALS CNTS<=4LITRS 2208.70.0030 185 191.1PFL 207 (191.1000 PFL) C18 FREE 0.00 IRT 2.74475/PF 524.52 MERCHANDISE PROCESSING FEE 0.3464% 0.72
INVOICE VALUE 22345.88 ADDITION 286.39 LESS NDC 0.00 NEV 22632.27 TEV$ 22632 12735.47
EDITRADE CBP Form 7501 (06/09)RECORD
Cahill & Dunn CHB, Inc.
ENTRY INVOICE RATING REPORT03/30/2015 Page: 1
01:57:39PM CATHY
Company: CAHILL Office: NASHVILLE
File: 0043182 Entry: BLH-0043182-9 Line No
Duty Rate NEVHTSCECOInv Product Name UOMQtyProduct DescriptionDetail Summary
00001 CA CA 2208700030 42230.00000000001 MALI 42 PFL 161.28MALIBU RUM WITH COCONUT LIQUER; 21%S 001
CA CA 2208700030 389650.00000000002 MALI 42 PFL 1134.00MALIBU RUM WITH COCONUT LIQUER; 21%S 002
CA CA 2208700030 19480.00000000003 MALI 42 PFL 56.70MALIBU RUM WITH COCONUT LIQUER; 21%S 003
CA CA 2208700030 15590.00000000004 MALI CRANCHRY 42 PFL 45.36MALI CRAN CHR 42; MALIBU CARIBBEAN RUM W/ CRANMBERS 004
CA CA 2208700030 527830.00000000005 MALI 42 PFL 1990.80MALIBU RUM WITH COCONUT LIQUER; 21%S 005
CA CA 2208700030 507070.00000000006 MALI 42 PFL 2116.80MALIBU RUM WITH COCONUT LIQUER; 21%S 006
CA CA 2208700030 20710.00000000007 MALI RED 70P PFL 191.10MALIBU RED; MALIBU MADE WITH CARIBBEAN RUM, TEQUILS 007
Entry Total: 152256