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.To : ____________ Attached please find_________copies of document.You are kindly asked to sign the receipt and keep the document properly.S/NName of documentsPagesEdition.Acknowledgment of Receipt on boardAcknowledgment of Receipt in OfficeDate Receipt :Master__________________________________(Signature)Vessel :_________________________________Date Receipt :Receiver :_______________________________(Signature)Division :_______________________________DPA :_____________________Note: To be completed every time and filed office's file.To retain for 1 year.Issue date: 03.11.2003/Rev.00 PBO-G∗04-F04 Page: 1/1RECEIPT OF DOCUMENT TRANSMITTALQSMS P-G∗04-F04 Rev.No.00 [ Pobierz całość w formacie PDF ]