INTERIM FOOTWEAR INVOICE

STYLE/CLR/DM/PO: ( ) Look-See/Confirmation
( ) Salesman Sample/Promo
( ) MASTER

FACTORY

1. Style name: Cinzia Araia 17. Which of the following characteristics does the footwear
2. Style number: Unknown/used possess?
3. Identify which of the following materials make up the greatest portion a. zoris _______
of the external surface area of the upper (accessories, reinforcements, b. made on a base platform of wood _______
excluded) c. made on a base platform of cork _______
a. leather 90
________% d. open toes or open heels _______
b. rubber and/or plastics ________% e. exclusively adhesive construction _______
c. textile materials ________% f. slip-on type _______
d. other materials 10
________% g. none of the above x
_______
18. If the answer to 14 is yes, are the uppers entirely of non-moulded
4. identify which of the following materials make up the greatest portion construction from a point 3cm above the top of the outer sole?
of the external surface area of the sole (accessories, reinforcements,
spikes, etc. excluded): YES_______ NO_______
a. leather or composition leather ________%
b. rubber and/or plastics 90
________% UPPERS ARE TEXTILE MATERIALS: SOLES ARE LEATHER
c. other materials 10
________% COMPOSITION LEATHER, RUBBER OR PLASTICS

5. Is the footwear designed for sports activity and does it have spikes, 19. Is the external surface area of the upper more than 50% leather
cleats, etc., or provision for the attachment of such. (leather accessories/reinforcements, etc. included)?
x
YES_______ NO_______
YES_______ x
NO_______ If yes, stop; if no, complete questions 14,15,16,17 and 20.
6. Is the footwear one of the following types?
a. skating boots, wrestling boots, boxing boots 20. Which of the following characteristics does the footwear possess?
or cycling shoes ________ a. less than 10% by weight of rubber and plastics or not over 50%
b. ski boots ________ by weight of rubber or plastics _______
c. cross-country ski boots ________ b. upper of vegetable fibers (cotton, flax, etc.) _______
d. tennis shoes, basketball, gym shoes, training c. soles which overlap the upper except at the toe
shoes and the like ________ or heel _______
e. none of the above x
________ d. none of the above _______
7. Is the footwear exclusively for men youth or boys?
YES_______ x
NO_______ UPPERS ARE LEATHER: SOLES ARE LEATHER
8. Does the footwear have a protective metal toe cap? COMPOSITION LEATHER, RUBBER AND PLASTICS
YES_______ x
NO_______
9. What is the height of the upper? 21. Which of the following characteristics does the footwear
a. covers the knee or higher ________ possess?
b. covers the ankle but not the knee x
________ a. weit construction _______
c. does not cover the ankle ________ b. turn or turned construction _______
c. uppers consisting of leather straps across the
UPPERS AND SOLES ARE RUBBER AND/OR PLASTICS instep and around the big toe _______
d. made on a base/platform of wood _______
10. Is the footwear waterproof and assembled by means other than e. none of the above _______
stitching, nailing, riveting, screwing, plugging or similar
processes? OTHER
YES_______ x
NO_______
If yes, complete questions 11-15; if no, complete questions 22. Which of the following characteristics does the footwear possess?
13-18) a. uppers of leather or composition leather x
_______
11. Are the external surface areas of the upper and sole b. uppers of textile material _______
(accessories, reinforcements, etc,. included) over 90% PVC? c. uppers and soles of wool felt _______
YES_______ NO_______ d. disposable footwear _______
12. Is the footwear designed for use without closures? e. none of the above _______
YES_______ NO_______
13. Is the external surface area of the upper (accessories, reinforcements,
reinforcements etc., included) over 90% rubber and/or plastics?
YES_______ x
NO_______
14. Is the footwear protective in nature (i.e. designed to be worn over or
in lieu of other footwear as a protection against water, oil, grease,
chemicals, or cold or inclement weather)?
YES_______ x
NO_______
15. Does the footwear have a foxing or foxing-like band applied or molded
at the sole and overlapping the upper?
YES_______ x
NO_______
16. If the answer to 15 is yes, is the foxing or foxing-like band wholly or
almost wholly of rubber or plastics?
YES_______ NO_______ ________________________________________________________
Signature Date

(Note: Use this for entries clearing U.S. Customs beginning January 1, 1989 instead of U.S. Customs form 5523)