ESMERALDA Schiffahrts-Verwaltungsges.
mbH
MONTH ........................................ 20..........
MONTHLY STATEMENT OF FUELS AND LUBRICANTS
M/V ...............................................................................
FUELS M/T LUBRICATING OILS IN LTRS
IFO MDO
R.O.B. FROM
LAST MONTH
RECEIVED
ON .............
AT ..............
RECEIVED
ON .............
AT ..............
RECEIVED
ON .............
AT ..............
TOTAL
CONSUMPTION
R.O.B. AT THE
END OF THE
MONTH
SIGNED BY CHIEF
ENGINEER
Form 201-08
ESMERALDA Schiffahrts-Verwaltungsges.mbH
Part IV Revision No.25 Issue No. 2 Page
Forms Date 30 05 06 All pages
Form 201-08
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