FORM D.-(For advising occurrence of fire.)
NAME OF VESSEL...
191...
Date..
I beg to advise that a fire has taken place on the....
inst., destroying or damaging cargo of above
*(a) on board the vessel.
*(b) in warehouse situate...
*(c) on wharf at........
serious
The damage is not serious.
.Dock.
[i.e., runs into more than, say, £1000].
The class of goods concerned is chiefly...
of which I estimate that about £..................worth has been damaged.
Signed
Description
*Strike out olauses which do not apply.
PUBLIC RECORD OFFICE
Reference :-
mwimmimC.O. 885
24 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- | COPYRIGHT PHOTOGRAPH—NOT TO |
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