EFTA00559098.pdf

IMPORTER SECURITY FILING (ISF}` INFORMATION SHEET Items 1-7 to be completed by shipper/agent & verified by ISF Filer. (1) Seller Name and Address (2) Buyer Name and Address OMBRELLIACIO ADRIAMARE DI P.GRAZIANI S.N.C. BRICE 00802 ST. THOMAS (3) Consoidator (Stuffer) Name and Address (4) Container Stuffing Location Name and Address TRAL SHIPPING AGENCY SPA CENTRAL SHIPPING AGENCY SPA Per ISF Rule, HTSUS, Country of Origin and Manufacturer must be inked to one another at the tine item level. Add additional sheets for additional HTSUS numbers. (5)Cornmodity,HTSUS Number(s) and Address (6) Country of Origin (7) Manufacturer Name and Address ITALY ELLIFICIO ACRIAMARE I DI P.GRAZIANI SAC. I (8) Importer of Record No. (I Consignee No, To be completed by fonfrardedagent House Bill of Lading Master &Ur Vessel Name Voyage No. 11,1007956 (scae code SAIJ) 111560188 (scae code CIADU) ROME EXPRESS 2F183W Date of Departure Port of Departure Container Number Loafing Date 12/21112 GENOA, ITALY CAXU 976544 12/20/12 ISF Fier Information: DataMme Received ISF Form Received By Date/Time Procees Confirmation # This form must be completed in English and provided to us, no later than 72 hour prior to sailing. EFTA00559098