OMB APPROVAL NO.

1651-0022
DEPARTMENT OF HOMELAND SECURITY EXPIRATION DATE 01/31/2021
U.S. Customs and Border Protection
ENTRY SUMMARY
1. Filer Code/ Entry Number 2. Entry Type 3. Summary Date 4. Surety Number 5. Bond Type 6. Port Code 7. Entry Date
9TV 1005763-6 01 ABI/A 1/25/22 HB 050 9 5201 1/12/22
8. Importing Carrier 9. Mode of Transport 10. Country of Origin 11. Import Date
NORTHERN JUVENILE 11 CN 12/27/21
12. B/L or AWB Number 13. Manufacturer ID 14. Exporting Country 15. Export Date
CNNINJIN8992NIN CN 10/29/21
16. I.T. Number 17. I.T. Date 18. Missing Docs 19. Foreign Port of Lading 20. U.S. Port of Unlading
57020 5201
21. Location of Goods/G.O. Number 22. Consignee Number 23. Importer Number 24. Reference Number
L689 SAME 36-499388700
25. Ultimate Consignee Name and Address 26. Importer of Record Name and Address
KIRI CREMATION LLC
1035 NE 125TH STREET - STE 110

City State FL Zip City NORTH MIAMI State FL Zip 33161-0000

32. 33. 34.
27. 28. Description of Merchandise A. HTSUS Rate Duty and I.R. Tax
29. 30. 31. A. Entered Value B. AD/CVD Rate Dollars Cents
Line
Number A. HTSUS No. A. Gross Weight Net Quantity in B. CHGS C. IRC Rate
B. AD/CVD Case No. B. Manifest Qty. HTSUS Units C. Relationship D. Visa Number
--IT-- --DATE-- --MBL-- --HBL-- --SHBL-- --QTY--
COSU6317227180 KYSIMIAY2100525 167PCS
Invoice 001 (JH-R210826)

001 ARTICLE OF CHINA,US NTE 20(R)

9903.88.15 3306 11650 7.5% 873.75
C1
Not Related
WOODEN FRAMES FOR PAINTNGS
4414.00.0000 2000.00NO 3.9% 454.35
Merchandise Processing Fee(499) 0.3464% 40.36
Harbor Maintenance Fee(501) 0.125% 14.56

Inv Value : $11650

Other Fee Summary (for Block 39) 35. Total Entered Value CBP USE ONLY TOTALS
499 40.36
501 14.56 A. LIQ CODE B. Ascertained Duty 37. Duty
$ 11,650 1328.10
Total Other Fees REASON CODE C. Ascertained Tax 38. Tax
$ 54.92 0.00
36. Declaration of Importer of Record (Owner or Purchaser) or Authorized D. Ascertained Other 39. Other
Agent 54.92
E. Ascertained Total 40. Total
I declare that I am the Importer of record and that the actual owner,
purchaser, or consignee for CBP purposes is as shown above, OR X owner 1383.02
or purchaser or agent thereof. I further declare that the merchandise X was obtained pursuant to a purchase or agreement to purchase and that the
prices set forth in the invoices are true, OR was not obtained pursuant to a purchase or agreement to purchase and the statements in the invoices
as 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 best
of my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that all
goods 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.
41. DECLARANT NAME (LAST,FIRST, M.I.) TITLE SIGNATURE DATE
A1 WORLDWIDE LOGISTICS, INC., ATTY-IN-FACT 1/12/22 ALBANI RODRIGUEZ 01/13/22
Broker/Filer Information Name (Last,First, M.I.) and Phone Number 43. Broker/Importer File Number
A1 WORLDWIDE LOGISTICS, INC. 1506290
1035 NE 125 STREET
SUITE 320
MIAMI, FL 33161-0000
305-821-8995 Page 1 of 2
CBP Form 7501 (12/19)
 DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET

1. Filer Code/ Entry Number

9TV 1005763-6
27. 28. Description of Merchandise 32. 33. 34.
29. 30. 31. A. HTSUS Rate Duty and I.R. Tax
Line A. Entered Value B. AD/CVD Rate Dollars Cents
Number A. HTSUS No. A. Gross Weight Net Quantity in B. CHGS C. IRC Rate
B. AD/CVD Case No. B. Manifefst Qty. HTSUS Units C. Relationship D. Visa Number
Ent Value : $11650

CBP Form 7501 (12/19) Page 2 of 2