C18

IMO SHIP'S STORES DECLARATION

Page No.
x Arrival Departure 1 of 6
1. Name of Ship 2. Port of arrival 3. Date of arrival /deprture
M/T SUN TRITON JIANGYIN, CHINA 31-Aug-17
4. Nationality of ship 5. Port of arrival from
PANAMA NINGBO, CHINA
6. Number of persons on board 7. Period of stay 8. Place of storage
22 PROVISION STORE
9. Name of article 10. Quantity 11. For official use

PORK AND BACON

PORK BELLY 35kg
PORK LEG 25kg
PORK BACON
IMO Convention on Facilitation of International Maritime Traffic

0kg
PORK SPARE RIBS 20kg
PORK MINCED 0kg
PORK HEAD 10kg
PORK BLOOD 0kg
PORK TOCINO 0pkt
PORK KNUCKLE 25ltr
PORK SAUSAGE 08ltr
BEEF
BEEF SPARE RIBS 10kg
BEEF T BONE STEAK 0kg
BEEF CUBE ROLLS 20kg
BEEF OXTAIL 0kg
BEEF FEET 0kg
BEEF TOP SIDE 0kg
TINNED FISH AND MEAT
SPAM 24tin
CORN BEEF/ARGINTENA 0tin
LUNCHEON MEAT 0tin
SARDINES LIGO 425GM 50tin
CENTURY TUNA 24tin
SALMON PINK IN TIN 0tin
CORN BEEF 2

12. Date and signature by master, authorized agent or officer

IMO FAL
Form 3

CAPT. NELSON F. TANCIO

MASTER OF M/T SUN TRITON
 C18

IMO SHIP'S STORES DECLARATION

Page No.
x Arrival Departure 2 of 6
1. Name of Ship 2. Port of arrival 3. Date of arrival /deprture
M/T SUN TRITON JIANGYIN, CHINA 31-Aug-17
4. Nationality of ship 5. Port of arrival from
PANAMA NINGBO, CHINA
6. Number of persons on board 7. Period of stay 8. Place of storage
22 PROVISION STORE
9. Name of article 10. Quantity 11. For official use

POULTRY
FRESH EGG 350'S(BOX) 03box
CHICKEN LEGS 25kg
CHICKEN WHOLE 25kg
IMO Convention on Facilitation of International Maritime Traffic

FROZEN FISH
MILK FISH 25kg
TILAPIA 20kg
SQUID 0kg
PRAWN MEDIUM 9kg
SABA MACKEREL BIG 20kg
RED SNAPPER 10kg
YELLOW FIN TUNA 0kg
TANGIGUE 20kg
TALAKITOK FISH 25kg
CHICKEN FEET 5kg
FRUIT JUICE
ORANGE JUICE 24ltr
APPLE JUICE 24ltr
PINEAPPLE JUICE 24box
MILK LONG LIFE 24ltr
PINEAPPLE JUICE 00box
MANGO JUICE 00box
MINERAL WATER 66box

12. Date and signature by master, authorized agent or officer

IMO FAL
Form 3

CAPT. NELSON F. TANCIO

MASTER OF M/T SUN TRITON
 C18

IMO SHIP'S STORES DECLARATION

Page No.
x Arrival Departure 3 of 6
1. Name of Ship 2. Port of arrival 3. Date of arrival /deprture
M/T SUN TRITON JIANGYIN, CHINA 31-Aug-17
4. Nationality of ship 5. Port of arrival from
PANAMA NINGBO, CHINA
6. Number of persons on board 7. Period of stay 8. Place of storage
22 PROVISION STORE
9. Name of article 10. Quantity 11. For official use

FRESH VEGETABLES
CARROTS 10kg
CHAYOTE 10kg
IMO Convention on Facilitation of International Maritime Traffic

CHINESE CABBAGE 15kg

CUCUMBER 6kg
BITTER GOURD 10kg
EGGPLANT 10kg
ONION DRY WHITE 50kg
DRY GARLIC 10kg
GREEN BELL PEPPER 0kg
GREEN PECHAY 5kg
LADY FINGER 2kg
RED HOT CHILLI 1kg
TARO ROOTS 10kg
BROCCOLI 5kg
POTATO 20kg
CABBAGE WHITE 15kg
FRESH MUSHROOM 0kg
TOMATO FRESH 25kg
WHITE RADDISH 0kg
CALABASA (PUMPKINS) 10kg
KIMCHI 0kg
BEAN SPROUT 2kg
GINGER ROOT 10kg
SWEET POTATO ( CAMOTE 10kg
LETTUCE ICE BERG 5kg
ONION DRY RED 0kg
12. Date and signature by master, authorized agent or officer
IMO FAL
Form 3

CAPT. NELSON F. TANCIO

MASTER OF M/T SUN TRITON
 C18

IMO SHIP'S STORES DECLARATION

Page No.
x Arrival Departure 4 of 6
1. Name of Ship 2. Port of arrival 3. Date of arrival /deprture
M/T SUN TRITON JIANGYIN, CHINA 31-Aug-17
4. Nationality of ship 5. Port of arrival from
PANAMA NINGBO, CHINA
6. Number of persons on board 7. Period of stay 8. Place of storage
22 PROVISION STORE
9. Name of article 10. Quantity 11. For official use

DRIED GOODS
SKYFLAKES CRACKERS 5pkt
COCONUT MILK 24tin
IMO Convention on Facilitation of International Maritime Traffic

NESCAFE- INTANT COFFE 10btl

PINEAPPLE SLICED 8tin
COFFEE CREAMER 24pkt
MILO 500gm 5pkt
TEA GREEN 02box
BROWN SUGAR 0kg
SUGAR WHITE 15kg
TIMPORA POWDER 7pkt
COOKING OIL 35ltr
TOMATO KETCHUP 0btl
FISH SAUCES 5btl
TABASCO 2btl
TOMATO SAUCES 10pkt
DELMONTE SPAGHETTI SAUCE 7btl
KIKOMAN SOY SAUCES 1 LTR 5btl
SHIN RAMYUN NOODLE 00box
BANANA KETCHUP 6btl
THOUSAND ISLAND DRESSING 4btl
MANG TOMAS SAUCE 10btl
WHITE VENIGAR 20btl
CANTON NOODLES 5pkt
VERMICELL NOODLES(SOTANGHON) 8pkt
RICE VERMICILLI (BIHON) 6pkt
SPAGHETE NODDLES 7kg
12. Date and signature by master, authorized agent or officer
IMO FAL
Form 3

CAPT NELSON F. TANCIO

MASTER OF SUN TRITON
 C18

IMO SHIP'S STORES DECLARATION

Page No.
x Arrival Departure 5 of 6
1. Name of Ship 2. Port of arrival 3. Date of arrival /deprture
M/T SUN TRITON JIANGYIN, CHINA 31-Aug-17
4. Nationality of ship 5. Port of arrival from
PANAMA NINGBO, CHINA
6. Number of persons on board 7. Period of stay 8. Place of storage
22 PROVISION STORE
9. Name of article 10. Quantity 11. For official use

DRIED GOODS
ELBOW MACARONI 4kg
CHOCO SPREAD 0btl
IMO Convention on Facilitation of International Maritime Traffic

PEANUT BUTTER 2btl

WERCESTERSHIRE SAUCE 0btl
MAYONAISE 1btl
BAGOONG ALAMANG 8btl
BAGOONG DILIS 0btl
DRIED ANCHOVIES DILIS 02box
OLIVE OIL 1btl
AJINOMOTO 5kg
SALT COOKING 5kg
HONDASHI NAMOTO 1kg
MICROWAVE POP CORN 20pkt
MAGGI SINIGANG MIX 8pkt
LADYS CHOICE SANDWICH SPREAD 10btl
PEPPER GROUND 1kg
CHICKEN SOUP POWDER 0pkt
STEAK SAUCE 2btl
DRY WAKAME 1kg
LIPTON TEA 02box
MIRIN 0btl
WASABI POWDER 1pkt
SUNFLOWER BISCUIT 2pkt

12. Date and signature by master, authorized agent or officer

IMO FAL
Form 3

CAPT. NELSON F. TANCIO

MASTER OF M/T SUN TRITON
 C18

IMO SHIP'S STORES DECLARATION

Page No.
x Arrival Departure 6 of 6
1. Name of Ship 2. Port of arrival 3. Date of arrival /deprture
M/T SUN TRITON JIANGYIN, CHINA 31-Aug-17
4. Nationality of ship 5. Port of arrival from
PANAMA NINGBO, CHINA
6. Number of persons on board 7. Period of stay 8. Place of storage
22 PROVISION STORE
9. Name of article 10. Quantity 11. For official use

CALROSE RICE 3kg

JAPAN RICE 15kg
GLUTINOUS RICE 14kg
IMO Convention on Facilitation of International Maritime Traffic

WHITE SLICE BREAD 25pkt

WHITE FLOUR 25kg
BAKING POWDER 2pkt
CORN STARCH 3kg
BREAD CRUMB 2kg
FROZEN AND VEGETABLES
SPRING ROLL WRAPPER 4pkt
ICE CREAM Cornetto 100 Pcs
PIZZA CRUST 05 Pcs
CHEESE CREAM 6btl
ICE CREAM 2LTR/TUB 00ltr
MOZZARELA CHEESE 0pkt
BUTTER 00 Pcs
YAKI TOFU 0pkt
MISO PASTE(YELLOW) 4kg
FRESH FRUIT
APPLE FUJI RED 20kg
ORANGE SUNKIS 20kg
BANANA HALF RIPE 0kg
WATER MELON 25kg
LEMON 2kg
APPLE GREEN 0kg
SWEET MELON 0kg
PEARS 5kg
12. Date and signature by master, authorized agent or officer
IMO FAL
Form 3

CAPT. NELSON F. TANCIO

MASTER OF M/T SUN TRITON