Lacey Act Declaration Form

Plant and Plant Product Import Declaration (cont.)
SECTION2-Compliance with Lacey Act Requirements (16 U.S.C.3372(f))
10.DESCRIPTION OF MERCHANDISE 11.HTSUS NUMBER
4409211090.00
Bamboo Flooring
12.ENTERED VALUE:(inU.S.Dollars)
For each article or component of an acticle ,provide the following:
16.
QUANTITY
OF PLANT
MATERIAL:
17. UNIT OF
MEASURE:
18. %
RECYCLED
MATERIAL:
756 CTNS 0%
13. ARTICLE/COMPONENT OF ARTICLE
14. PLANT SCIENTIFIC NAME:
(Genus and species)
15. COUNTRY OF HARVEST:
US$24,917.76
HD13005A BAMBOO FLR NAT TIGERSTRIPE
Bamboo(Phyllostachys Pubescens ) 57%
MDF 33%
Eucalyptus(Lobular Eucalyptus) 10%
CHINA