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S.C.16                          			S.C.16                            		S.C.16
No.                             			No.                               		No. 
Boat Note                      			Boat Note                        		Boat Note
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For goods transhipped/		For goods transhipped/		For goods transhipped /
reshipped from the S.S.		reshipped from the S.S.		reshipped from the s.s.
to the S.S.			to the s.s.                       		to the S.S.

Date.......19....                 		Date..........19..                 	Date....19....
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Marks and	Quantity		Marks and	Quantity		Marks and	Quantity 
Numbers      	and des-             	Numbers     	and des-             	Numbers		and des-   
	    	cription                         		cription                            		cription 
            		of goods                         		of goods                            	of goods
_____________________________________________________________________________________________

_____________________________________________________________________________________________

(sign of preventive             			(sign of preventive      		(sign of preventive
 officer)(sign of                			officer)(sign of			officer)(sign of 
Ship"s officer)                 			Ship"s officer)                    		Ship"s officer)
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