572247-1930-Minutes--No-3 — Page 35

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THE HONG KONG GOVERNMENT GAZETTE, JUNE 27, 1930.

Ships stores.

No. of

Description

cases, etc. of casis, etc.

Nature of light oils.

Quantity in gallons.

Total value.

Date...

[Second Schedule Form N. 1 contd.)

(Owners, charterers, agents or master.

(Address.)

(Signature of employé or agent if the

above signature is that of a body cor- porate or firm.)

FORM No. 12.--EXPORT STATEMENT.

(s. 27

Motor Spirit Ordinance, 1930,

I (We) hereby declare that the following light oils

were exported by the S.S.

which left the Colony on the

Date....

Cargo.

No. of Description

cases,

etc.

of cases, etc.

Marks. Nos.

Nature of light oils.

Quantity Totul

in gallons.

value.

No. of

Description

cases, etc. of cases, etc.

Ships stores.

Nature of light oils.

Quantity in Total value.

gallons.

Date......

(Owners, charterers, agents or master.)

(Address.)

(Signature of employé or agent if the above signature is that of a body cor- porate or firm.)

307

Page 35Page 36

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