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FORM No. 14.-RECEIPT FOR DUTY,
[s. 10.] [Second
Schedule contd.]
Hydrocarbon Oils Ordinance, 1939.
I hereby acknowledge the receipt from
of the sum of dollars
and cents
being the amount payable as duty on the hydrocarbon oils described below which are now stored at
Nature of oils.
Marks on cases, etc.
No. of gallons.
Total duty.
Date
Superintendent of Imports and Exports.
FORM No. 15.-IMPORT STATEMENT.
[s. 27.]
Hydrocarbon Oils Ordinance, 1939.
I (We) hereby declare that the following hydrocarbon oils were imported by the S.S.*
.which arrived in the
Colony on
*Note. Where the import was not by ship indicate the convey-
ance used.
Cargo.
No. of Description
cases,
etc.
of cases, etc.
Marks.
Nature of Nos. hydrocarbon
oils.
Quantity Total value. in gallons.
Ships stores.
No. of cases, etc.
Description of cases, etc.
Nature of hydrocarbon oils.
Quantity in gallons.
Total value.
Date
(Owners, charterers, agents or master.)
(Address.)
(Signature of employee or agent if the above signature is that of a body cor- porate or firm.)
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