FSE
10 1jjal no yoiwoes benoijnem svode ant
Beijoйtus
+
.beruter ed føde sejnerava
- ad dom scsoltitiso bian vid bisode 1everoH
lo stab ent. Mori aysb ytenin to vilqze said sroled bensa
bojaɔalinoɔ að IIera valiwasa erit,1000,add to Joyxe
mi penoidne jus vrij galweddo to aslðltoftus are yd
„bløy ed Ilaria vajnaiuug. Io 19dJvi and
FORM A.
328
Form for Deposit of Security on Export Coal.
Description of Coal
Place of Origin and quali-
ty.
Weight in Tons.
Value
Nationality of Steamer
on which loaded.
Port of Export
Destination
Consignees
Purpose
In Yen
Name: nationality: sall
or steam.
Name of port.
Use to which coal is to be
put: e.g. bunkers, fac-
tory use etc.
It is hereby declared that the above coal, upon
permission to export being granted, will be exported
to the above destination,
yen
Consequently the sum of
Should the above de-
being double the value of the said coal is
herewith deposited as security.
claration be violated (with the exception of sinking,
loss by fire, stranding, beaching, collision or other.
act of God, or force majeure, or when taking the pro-
per course the vessel be attacked, taken, detained or
stopped
!