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Form Surveys 104 b.
THE HONGKONG GOVERNMENT GAZETTE, 5TH MAY, 1877.
No. 469.
ISSUED BY THE
BOARD OF TRADE
IN PURSUANCE OF THE MERCHANT SHIPPING
Acrs, 1854 To 1876.
DECK CARGO SPACES,
Name, Port of Registry, and Official No. of Ship.
(1.)
FOREIGN-GOING SHIP.
Tonnage.
Voyage.
Gross. (2.)
Register.
(8.)
(4.)
NOTE. Obliterate paragraph 1 or 2, as the case may be.
This is to certify,
1. That no timber, stores, or other goods have been carried during the voyage
just ended in any uncovered space upon deck, or in
any covered space not included in the contents forming the ship's registered tonnage as shown in column 3 above.
2. That no timber, stores, or other goods will be carried from the United Kingdom during the voyage about to be commenced in any uncovered space upon deck, or in any covered space not included in the ship's registered tonnage as shown in column 3 above.
Witness
Dated at
Superintendent.
this
187
State whether Owner, Agent, or Master.
Note.—One of these forms is to be filled up and handed to the Superintendent on the engagement and
discharge of a Crew when the Form Surveys 104, or the Form Surveys 104a, is not produced