1 Second
434
Ships stores.
Schedule
Form No. 11
contd.]
No. of
Description
cases, etc. of cases, etc.
Nature of light oils.
Quantity in gallons.
Total value.
Date.....
(Owners, charterers, agents or master.)
(Address.)
(Signature of employé or agent if the above signature is that of a body cor- porate or firm.)
FORM No. 12.--EXPORT STATEMENT.
[s. 27.]
Motor Spirit Ordinaner, 1930.
1 (We) hereby declare that the following light oils
were exported by the S.S.
which left the Colony on the
Date..
Cargo.
No. of Description
cases,
etc.
of cases, ete.
Marks. Nos.
Nature of Fight oils.
in gallons.
Quantity Total value.
Description
No. of cases, etc. of cases, etc.
Date.....
Ships stores.
Nature of light oils.
Quantity in Total value.
gallons.
(Owners, charterers, agents or master.)
(Address.)
(Signature of employé or agent if the above signature is that of a body cor- porate or firm.)