DRAFT ONLY

3. Summary Date

4. Surety No. 7. Entry Date

9. Mode of Transport 10. Country of Origin 11. Import Date

12. B/L or AWB No. 13. Manufacturer ID 14. Exporting Country 15. Export Date

16. I.T. No. 17. I.T. Date 18. Missing Docs 19. Foreign Port of Lading 20. U.S. Port of Unlading

21. Location of Goods/G.O. No. 22. Consignee No. 23. Importer No. 24. Reference No.

25. Ultimate Consignee Name and Address 26. Importer of Record Name and Address

27. 28. Description of Merchandise 32. 33. 34.

29. 30. 31. Duty and I.R. Tax

Line 

No.

Dollars Cents

Other Fee Summary for Block 39 35. Total Entered Value CBP USE ONLY TOTALS

A. LIQ CODE B. Ascertained Duty 37. Duty

REASON CODE C. Ascertained Tax 38. Tax

D. Ascertained Other 39. Other

E. Ascertained Total 40. Total

SIGNATURE DATE

42. Broker/Filer Information (Name, address, phone number) 43. Broker/Importer File No.

8. Importing Carrier

41. DECLARANT NAME TITLE

1. Filer Code/Entry No. 2. Entry Type

36. DECLARATION OF IMPORTER OF RECORD (OWNER 

OR PURCHASER) OR AUTHORIZED AGENT

City State Zip City State Zip

$

Total Other Fees

$

I declare that I am the

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.

Importer of record and that the actual owner, 

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 will immediately furnish to the appropriate CBP officer any information showing a different statement of facts.

or purchaser or agent thereof.

purchaser, or consignee for CBP purposes is as shown above, owner 

I further declare that the merchandise was obtained pursuant to a purchase or agreement to purchase and that the 

OR

prices set forth in the invoices are true, OR

5. Bond Type 6. Port Code

A. HTSUS No. 

B. ADA/CVD No.

A. Grossweight 

B. Manifest Qty.

Net Quantity in 

HTSUS Units

A. Entered Value 

B. CHGS 

C. Relationship

A. HTSUS Rate 

B. ADA/CVD Rate 

C. IRC Rate 

D. Visa No.

DEPARTMENT OF HOMELAND SECURITY 

U.S. Customs and Border Protection 

ENTRY SUMMARY

OMB APPROVAL NO. 1651-0022 

EXPIRATION DATE 01/31/2021 

ESTIMATED BURDEN 10 MIN

CBP Form 7501 (2/18)

ADDTL BL'S: NDLN251885, 

9LB 00005762 01 ABI-A 09/06/2018 856 8 5301 CMDU 11 CN 08/28/2018 CMDUDNFF027867 CNULVSHE12SHE CN 08/08/2018 57051 5301 FIRMS # V136-BAYPORT CONTAINER TERMINAL 47-299259900 47-299259900

URBAN MINING COMPANY INC

8201 E RIVERSIDE DR

SUITE 150

AUSTIN TX 78744 AUSTIN TX 78744

URBAN MINING COMPANY INC

8201 E RIVERSIDE DR

STE 150

MPF 499 497.99

HMF 501 368.43

294744 866.42 ✘

✘

$73,686.00 $0.00 $866.42 $74,552.42 Bina Shah ATTORNEY-IN-FACT Bina Shah 09/06/2018

 Advanced Customs Brokers & Logistics, Inc.

1044 Ashford Lane

Westmont IL 60559 (630) 965-4311

5762USBA STRIP CASTER / STRIP CASTER FURNACE NY 2805

16 PKG

Invoice No. KSN180725

9903.88.01 18340

ARTICLES OF CHINA,US NOTE Ruling #:

N280547

8514.40.0000 18340 0 X

INDUCTION/DIELECT HEATING Ruling #:

N280547

CNULVSHE12SHE

 INV

 NDC/DC

 EV

 Merchandise Process. Fee

 Harbor Maintenance Fee

1 0

294744

294744

0.00

294744

C 5000

Not Related

25.00%

0.00%

0.3464%

0.125%

$73,686.00

$0.00

$1,020.99

$368.43