15 Bijlage 9. Cargo manifest

m.t. : " ................................ " ........................ Nationality: ...........

Name of Master : ................................................................

Port of Loading : ................................................................

Port of Discharging : ................................................................

B/L	Shipper/Consignee Notify	Marks Numbers	Description	Weight

Rotterdam, ......................... 19..

NAAM BEDRIJF
As Agents Only