Customs Broker, Inc.

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277 Southfield Pkwy, Ste 135, Atlanta, GA 30297 (404)361-1114 Imports@LHCB.com

Government Agencies

Industry Associations

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Lee Hardeman

Direct link to Lacey Act Declaration Form 505

Note: importer will complete items 13 18, sign and date page 1 and 2. Fax to 404-361-1314 or Scan and send to SandyC@Lhcb.com

LHCB