NEW ZEALAND CUSTOMS.
DECLARATION FOR AD VALOREM GOODS.
I, do hereby declare the I am the Agent duly authorised by and that he is or they are the importer(s) of the undermentioned Goods chargeable with ad valorem duty by the ship from viz., “as described in the within entry” and that the current domestic value of the said Goods, as defined by the Customs Acts, is Pounds Shillings Pence
I do also declare that the invoice(s) marked with DALGETY & CO. LTD. stamp and numbered now produced in verification of such value, is/are the original invoice(s) from the seller(s) or consignor and that the said invoice(s) contain(s) a true statement of the description, quantity, and current domestic value of, the prices charged for, and the total amount paid or to be paid by the said Importer(s) in respect of the said Goods. And I do further declare that no invoice, letter, statement, or other document, or any intimation relating to the said Goods, indicating any addition to or alteration of the said current domestic value, prices, or total amount, or showing descriptions or quantities differing from those in the said invoice(s) which has not been produced, has been received by the said importer(s) or by myself, or as far as I know, by any person in New Zealand.
Declared before me, at Napier, this day of 19
Officer of Customs.