FALForm3


IMO SHIP'S STORES DECLARATION

(IMO FAL Form 3)

x

Arrival

Departure

Page Number

    1. Name of ship

Malmo

    1. IMO number

8116738

    1. Call sign

4LVR

    1. Voyage number

112432

2. Port of arrival/departure

Trelleborg

3. Date of arrival/departure

14.05.2014

4. Flag State of ship

Tanzania

5. Last port of call/Next port of call

Świnoujście

6. Number of persons on board

10

7. Period of stay

5 days

8. Name of article

9. Quantity

10. Location on board

11. Official use

Meat

100kg

Galey

Crew

Cigaretes

75

Masters room

Crew

Fruits and vegetables

200kg

Pantry

Crew

Beer

150

Masters room

Master

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

10.05.2014

Rolewski Damian



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