IMO CARGO DECLARATION

(IMO FAL Form 2)

			x	Arrival			Departure		Page Number
	Name of ship Malmo		IMO number 8116738
	Call sign 4LVR		Voyage number 112432
	2. Port where report is made Świnoujście		3. Flag State of ship Tanzania
	4. Name of master Rolewski Damian		5. Port of loading/Port of discharge Trelleborg
B/L No.*	6. Marks and Numbers	7. Number and kind of packages; description of goods, or, if available, the HS Code			8. Gross weight			9. Measurement
	HOLD 1	3000 packages of tv			2000t			14x13x15
		HOLD 2	1000 packages of AGD goods			1500t			12x16x10
		HOLD 3	1500 pqckages of furniture			1000t			16x10x12
		10. Date and signature by master, authorized agent or officer 10.05.2014 Rolewski Damian

^* Transport document number. Also state original ports of shipment in respect to goods shipped on multimodal transport document or through bills of lading.

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