Dutiable Commodities.
[CAP. 109
FORM 26.
(1) Import/Export Statement.
I hereby declare that the following dutiable goods were
(1) imported/exported by (2)
which (1) arrived in/left this Colony on (3)
from
(1) Strike out words not
19...... required.
No. of
cases.
Marks. Nos.
Descrip-
tion of
goods.
Quantity in lb. or gal.
Con-
signees.
(2) Here insert particulars of ship, aircraft, train or vehicle conveying the goods.
(3) Date.
(4) Stores.
No. of
cases.
Description of cases.
Description of goods.
Quantity in lb. or gal.
Value.
Date
19......
(Owners, Charterers, Agents or Master).
(Address).
(Signature of employee or agent, if the above signature be that of a body corporate or firm).
329
(4) Ship's or aircraft
stores only to be entered
here.