Gripsholm Shipping S.A.: Requisition Form

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GRIPSHOLM SHIPPING S.A.

SHIP MANAGEMENT
Akti Miaouli 17 Phones : 30-1- 41 14 192 / 3
185 35 Piraeus Fax : 30-1- 41 11 995
Hellas Telex : 211323

REQUISITION FORM
_________________________________________________________________________________________________________________________
___

Ship : ________________________________________ Date : ____________________________________________


Department : __________________________________ Required where/when : ______________________________
Urgent Urgent
Ships Ref. ____________________________________ By Air By Sea/Road When convenient

ACCT No. ITEM QTY R.O.B. APPR. DESCRIPTION / REMARKS

__________________________________________ _____________________________________________
Master Ch. Engineer / Ch. Officer / Ch. Steward

NOTE : 1) All requests for spare parts MUST include account number, name of Manufacturer - Model - Serial No. - Name Plate Data - Catalog
and/or Instruction Book + R.O.B.
2) If above not available, indicate all operating conditions.
3) Remarks, if any, in Description column.
Original + Copy 1 : GRIPSHOLM SHIPPING S.A. Office - Copy 2 : Ships File No. 11 GRIP FORM - 10

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