CO885-24 — Page 309

FORM E.--(For advising relcase of cargo and collection of premium where marine

policy or invoice value available.)

PORT

NAME OF VESSEL.

tons

of..

packages

were released to-day to..

(state nature of cargo)

* The value for which the cargo was insured under marine policy

(or) * The invoice value of the cargo

was £.................................................

..which, lese 10% is £..................................... and I collected

premium as under :— -

£..........

191

..insured from...

Signed

Description

£

* Please strike out the clause which does not apply.

PUBLIC RECORD OFFICE

Reference :-

1|

C.O. 885

24 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-

COPYRIGHT PHOTOGRAPH—NOT TO

い