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Get Fws Form 3 177

/Unit 19b. Total Monetary Value 20. Country of Species Origin 21. Venomous Live Wildlife Indicator (ISO Code) (Check if yes) 22. I certify under penalty of perjury that the information furnished is true and correct: Signature Date For Official Use Only Type or Print Name See Reverse Side of this Form for Privacy Act Notice FILING INSTRUCTIONS FOR DECLARATION FOR IM.

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