Customs Act 1901 - CEO Instrument of Approval No. 6 of 1992

COMMONWEALTH OF AUSTRALIA

INSTRUMENT OF APPROVAL NO. 6 OF 1992

CUSTOMS ACT 1901

I, DENIS O'CONNOR, Acting Comptroller-General of Customs, pursuant to section 4A of the Customs Act 1901, approve the attached "Report of Ship's Stores" as an approved form for the purposes of section 130B of the Customs Act 1901.

Dated this 24th day of June 1992.

Denis O'Connor

Acting Comptroller-General

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<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:1pt"><td colspan="5" style="width:781.7pt; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top; background-color:#000000"><p style="text-align:center; background-color:#000000"><span style="font-weight:bold; color:#ffffff">PART I - NARCOTIC DRUGS AND RESTRICTED DRUGS</span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; text-align:center; background-color:#ffffff"><span>First Column</span></p><p style="margin-top:6pt; text-align:center; background-color:#ffffff"><span>Description of Drug</span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; text-align:center; background-color:#ffffff"><span>Second Column</span></p><p style="margin-top:6pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Quantity on board on arrival at first Australian port</span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; text-align:center; background-color:#ffffff"><span>Third Column</span></p><p style="margin-top:6pt; text-align:center; background-color:#ffffff"><span>Quantity taken on board in Australia</span></p></td><td style="width:126.55pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; text-align:center; background-color:#ffffff"><span>Fourth Column</span></p><p style="margin-top:6pt; text-align:center; background-color:#ffffff"><span>Quantity consumed in Australian waters</span></p></td><td style="width:126.3pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; text-align:center; background-color:#ffffff"><span>Fifth Column</span></p><p style="margin-top:6pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Quantity on board at last port</span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:260pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:126.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr></tbody></table>

<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:1pt"><td colspan="4" style="width:523.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top; background-color:#000000"><p style="text-align:center; background-color:#000000"><span style="font-weight:bold; color:#ffffff">PART II - FIREARMS, WEAPONS AND AMMUNITION</span></p></td></tr><tr style="height:1pt"><td style="width:225.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Make and Model</span></p></td><td style="width:94.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Quantity</span></p></td><td style="width:95.9pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Value</span></p></td><td style="width:95.1pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Serial Number</span></p></td></tr><tr style="height:1pt"><td style="width:225.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:94.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.9pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:94.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.9pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:94.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.9pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:94.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.9pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:94.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.9pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td><td style="width:95.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top"><p style="margin-top:6pt"><span></span></p></td></tr></tbody></table>

DECLARATION TO BE MADE AT PORT OF ARRIVAL

I hereby declare that: (a) the particulars shown in the first and second columns of Part I of this form are a true and accurate statement of all narcotic drugs and restricted drugs on board my vessel;

(b) the particulars shown in Part II of this form are a true and accurate record of all frearms, weapons and ammunition on board my vessel.

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<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:1pt"><td colspan="2" style="width:523.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top; background-color:#000000"><p style="text-align:center; background-color:#000000"><span style="font-weight:bold; color:#ffffff">PART III - LIST OF DUTIABLE STORES CONSUMED</span></p></td></tr><tr style="height:1pt"><td style="width:225.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="text-align:center; background-color:#ffffff"><span>Description of goods</span></p></td><td style="width:293.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="text-align:center; background-color:#ffffff"><span>Quantity consumed in Australian Ports</span></p></td></tr><tr style="height:1pt"><td style="width:225.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:293.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:293.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:293.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:293.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:225.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:293.95pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr></tbody></table>

DECLARATION TO BE MADE AT FINAL AUSTRALIAN PORT

I hereby declare that: (a) the particulars shown in the first and third columns of Part I of this form are a true and accurate statement of all narcotic drugs and restricted drugs shipped on board my vessel in Australia;

(b) the particulars shown in the first and fourth columns of Part I of this form are a true and accurate record of all the narcotic drugs and restricted drugs consumed on board my vessel in Australian waters;

(c) the particulars shown in Part II of this form are a true and accurate statement of all firearms, weapons and ammunition on board my vessel, including any items shipped on board while in Australia; and

(d) the particulars shown in Part III of this form are a true and accurate statement of all dutiable stores consumed on board my vessel in Australian ports.

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<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:1pt"><td colspan="10" style="width:523.45pt; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top; background-color:#000000"><p style="text-align:center; background-color:#000000"><span style="font-weight:bold; color:#ffffff">PART IV - RECORD OF RELEASE OF SHIP'S STORES</span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>DESCRIPTION OF GOODS</span></p></td><td style="width:41pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity on Arrival</span></p></td><td colspan="5" style="width:212.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>DUTY FREE RELEASES</span></p></td><td colspan="3" style="width:122.6pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>DUTIABLE RELEASE</span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p><span></span></p></td><td style="width:41pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity</span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity</span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity</span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity</span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity</span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity and Origin</span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity and Origin</span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="background-color:#ffffff"><span>Quantity and Origin</span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Beer, stout</span><span style="width:85.17pt; font-family:'Lucida Console', monospace; display:inline-block">..............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Brandy</span><span style="width:99.06pt; font-family:'Lucida Console', monospace; display:inline-block">................</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Gin</span><span style="width:113.5pt; font-family:'Lucida Console', monospace; display:inline-block">..................</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Liqueurs</span><span style="width:92.95pt; font-family:'Lucida Console', monospace; display:inline-block">...............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Rum</span><span style="width:109.05pt; font-family:'Lucida Console', monospace; display:inline-block">..................</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Whisky</span><span style="width:97.39pt; font-family:'Lucida Console', monospace; display:inline-block">................</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Other spirits</span><span style="width:78.78pt; font-family:'Lucida Console', monospace; display:inline-block">.............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Sparkling wine</span><span style="width:67.67pt; font-family:'Lucida Console', monospace; display:inline-block">...........</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Still wine</span><span style="width:89.89pt; font-family:'Lucida Console', monospace; display:inline-block">..............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Cigarettes</span><span style="width:87.96pt; font-family:'Lucida Console', monospace; display:inline-block">..............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Cigars</span><span style="width:102.39pt; font-family:'Lucida Console', monospace; display:inline-block">................</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Tobacco</span><span style="width:94.08pt; font-family:'Lucida Console', monospace; display:inline-block">...............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Master's signature</span><span style="width:55.88pt; font-family:'Lucida Console', monospace; display:inline-block">.........</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Port and date</span><span style="width:75.74pt; font-family:'Lucida Console', monospace; display:inline-block">............</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:135.5pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span>Release made - Boarding Officer</span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:41pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39.4pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.85pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:39pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:37.8pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:38.55pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr></tbody></table>

View image in the official source

<table cellspacing="0" cellpadding="0" style="width:99.38%; margin-left:1.6pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td colspan="7" style="width:516.25pt; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top; background-color:#000000"><p style="text-align:center; background-color:#000000"><span style="font-weight:bold; color:#ffffff">UNDERBOND STORES</span></p></td></tr><tr style="height:1pt"><td colspan="4" style="width:249pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>PART V - STORES TAKEN ON BOARD IN AUSTRALIA</span></p></td><td colspan="3" style="width:263.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>PART VI - STORES TRANSHIPPED TO ANOTHER VESSEL</span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Entry Particulars</span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Goods</span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Quantity</span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Customs Officer</span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Entry Particulars</span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Goods</span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; background-color:#ffffff"><span>Quantity</span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; 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padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr><tr style="height:1pt"><td style="width:67.05pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:47.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:45.25pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:77.1pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:121.35pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:80.3pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td><td style="width:53.6pt; border:0.75pt solid #000000; padding-right:1.62pt; padding-left:1.62pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:6pt; background-color:#ffffff"><span></span></p></td></tr></tbody></table>