TOBACCO.
No. 10 of 1916.
2453
Ships stores.
[Second Schedule contd.]
No. of cases. Description of cases. Nature of tobacco. Weight in lbs. Total value. Date......
(Owners, charterers, agents or master.) (Address.)
(Signature of employé or agent if the above signature is that of a body corporate or firm.)
FORM No. 11.-EXPORT STATEMENT.
[s. 29.] Tobacco Ordinance, 1916.
I (We) hereby declare that the following tobacco was exported by the S.S..
the........ Date...... which left the Colony on
Page 30
Page 31
TOBACCO.
No. 10 of 1916.
2453
Ships stores.
[Second
Schedule contd.]
No. of Description of
cases.
cases.
Nature of tobacco.
Weight in lbs.
Total value.
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.)
FORM No. 11.-EXPORT STATEMENT.
[s. 29.]
Tobacco Ordinance, 1916.
I (We) hereby declare that the following tobacco was exported by the
S.S..
the........
Date......
which left the Colony on
Page 30Page 31
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