CO885-24 — Page 311

FORM G.-(For advising release of cargo without collection of premium owing to

cargo being insured elsewhere.)

PORT

NAME OF VESSEL.

to-day to......

As the said.

tons

of

packages

† (state nature of cargo)

† were released

produced to me

(a) a fire insurance policy effected with the (state name of Insurance

Company) on the............

and numbered....

... of

.191......

..............covering the said cargo

t(b) a receipt numbered...

.of.

.................

..and dated the

.191... from the (state name of Insurance

Company) for premium paid under a fire insurance policy appearing to cover

the cargo

I did not collect any premium.

Signed.........

Description.

*Strike out the alause which does not apply.

PUBLIC RECORD OFFICE

Reference -

mmmmmmC.O. 885

24 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- | COPYRIGHT PHOTOGRAPH-NOT TO

G.-(For advising release of cargo without collection of premium owing to

cargo being insured elsewhere.)

E OF VESSEL..

7 to.......

tons packages

of

+(state nature of cargo)

† were released

As the said..

.............

Iced to me

(a) a fire insurance policy effected with the (state name of Insurance

any) on the.....................................

numbered......

of

..covering the said cargo

.191......

t(b) a receipt numbered.....

..of.

..and dated the

.191... from the (state name of Insurance

any) for premium paid under a fire insurance policy appearing to cover

argo

not collect any premium.

Signed.....

Description

+Strike out the clause which does not apply.

PUBLIC RECORD OFFICE

Reference :-

TLC.O. 885

24 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-

| COPYRIGHT PHOTOGRAPH—NOT TO