SHIP'S STORES DECLARATION

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Arrival Departure
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1. Name of ship 2. Port of arrival/departure 3. Date of arrival/departure
MAIRAKI
4. Nationality of ship 5. Port arrived from/Port of destination

6. Number of persons 7. Period 8. Place of storage

on board of stay

9. Name of article 10. Quantity 11. For official use

BONDED STORES
Wine bottle(s)
Spirit bottle(s)
Whisky bottle(s)
Cigarettes crtn(s)

DECK & ENGINE STORES

Fresh water ton(s)
Fuel Oil ton(s)
Diesel ton(s)
Lubricating Oil ltr(s)
Paint ltr(s)
TV sets piece(s)
DVD player piece(s)
Printer piece(s)
Computer piece(s)
Copy machine piece(s)

PROVISION
Fresh vegetables kg(s)
Fish kg(s)
Rice kg(s)
Milk ltr(s)
Cooking oil ltr(s)
Flour kg(s)
Coffee kg(s)
Sugar kg(s)
Poultry kg(s)
Meat kg(s)
Fruit kg(s)
Egg kg(s)

12. Date and signature by master, authorized agent or officer