PBO TD04 F09 Fuel consumption statement













Date: ___________________________



F.O. I.F. D.O. Total Utilization
No. Vessel



of FO or IF


[ T ] [ T ] [ T ] [ T ] by ME [ % ]
1 Pokoj





2 B.Prus





3 Ceynowa





4 J.Dlugosz





5 Chopin





6 Moniuszko





7 Szymanowski





8 Wieniawski





9 Norwid





10 W. Orkan














T O T A L

















Power Engineering Dept._____________________________________


Note: To be completed every year and filed in office's file.






To retain for 3 years.






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