Second Schedule contd.]
136
FORM No. 16.-EXPORT STATEMENT.
[s. 27.]
Hydrocarbon Oils Ordinance, 1939.
I (We) hereby declare that the following hydrocarbon oils were exported by the S.S.*
which left the Colony
on the
*Note. Where the goods are not exported by ship indicate the mode of transport.
(First
Schedule.
Licensed
Ware-
houses. Reg. 7.)
Date
Cargo.
No. of cases, etc.
Description of cases, etc.
Marks.
Nos.
Nature of hydrocarbon oils.
Quantity in gallons.
Total
value.
No. of cases, etc.
Description of cases,
etc.
Date
Ships stores.
Nature of hydrocarbon
oils.
Quantity in gallons.
Total value.
(Owners, charterers, agents or master.)
(Address.)
(Signature of employee or agent if the above signature is that of a body cor- porate or firm.)
FORM No. 17.-LICENSED WAREHOUSE STOCK-BOOK,
Ex S.S.*
arrived on
*Note. Where the goods are not ex ship indicate the source.
Receipts.
Date.
Removal Landing permit permit
No.
No.
Marks
and Description. in gallons.
Quantity
Remarks.
Nos.
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