Form 42A—Ships’ stores consumed in AustrForm 42A—Ships’ stores consumed in Australia

Form 42A—Ships’ stores consumed in Australia

(section 130)

(regulation 106 (1E))

AUSTRALIAN CUSTOMS
SHIPS’ STORES CONSUMED IN AUSTRALIA

Ship From Master

Principal Agent Duty payable at

Arrived at the Port of on the day of , 19

<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td colspan="4" style="width:349pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormSubHead" style="margin-top:3pt; text-align:center; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">PART I—NARCOTIC DRUGS AND RESTRICTED DRUGS</span></p></td></tr><tr><td style="width:79.65pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">First Column</span></p></td><td style="width:81.6pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Second Column</span></p></td><td style="width:81.1pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Third Column</span></p></td><td style="width:74.25pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Fourth Column</span></p></td></tr><tr><td style="width:79.65pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Description of Drug</span></p></td><td style="width:81.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Quantity on board on arrival at first Australian port</span></p></td><td style="width:81.1pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Quantity shipped in Australia</span></p></td><td style="width:74.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; text-align:right; page-break-inside:avoid; page-break-after:avoid"><span style="font-family:Arial, sans-serif">Quantity consumed in Australian waters</span></p></td></tr><tr><td style="width:79.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:81.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:81.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:74.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr><td style="width:79.65pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:81.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:81.1pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:74.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="FormText" style="margin-top:0pt; page-break-inside:avoid; page-break-after:avoid; line-height:9pt"><span style="font-family:Arial, sans-serif"></span></p></td></tr></tbody></table>