ADDITIONAL VICTUALLINGS

VESSEL:

FROM

TO

ACCOUNT

CHARTERERS

OWNERS

DATE

PORT

DESCRIPTION

PERSON'S NUMBER

BREAKFAST

LUNCH

DINNER

TOTAL MEALS

TOTAL

TOTAL RATIONS (TOTAL MEALS / 3)

RATION'S COST USD

TOTAL COST USD

MASTER: SIGNATURE:

………………………. ……………………….

PORT:…………………….

DATE:…………………….

SHOULD BE COMPLETED AND FORWARDED TO THE OFFICE BY COURIER AT THE END OF EACH MONTH.

ATLANTIC UNITED MARINE INC.

FORM / 4203

Safety Management System Manual - IMO Res. A. 741 (18)
Developed by Date of Initial Issue Chapter	: SMS Designated Person : April 1998 : 14	Authorized by Revision No / Effective date Page	: Managing Director : 3 / 07-99 : 1

---