NEW ZEALAND GAZETTE, No. 132

9 NOVEMBER 2006

PART C

SHIP'S STORES LIST

| Article | Total quantity on board on arrival in New Zealand.
| | (Where stores are held in a different location,
| | provide a separate quantity for each location.) |
| | Litres | No. | Located at | Located at | Port ........ | Port ........ |
| | | | | | Date ........ | Date ........ |
|-----------------------|--------|-----|------------|------------|---------------|---------------|
| Brandy | | | | | | |
| Brandy | | | | | | |
| Rum | | | | | | |
| Rum | | | | | | |
| Gin | | | | | | |
| Gin | | | | | | |
| Vodka | | | | | | |
| Vodka | | | | | | |
| Whisky | | | | | | |
| Whisky | | | | | | |
| Other spirits | | | | | | |
| Other spirits | | | | | | |
| Beer | | | | | | |
| Beer | | | | | | |
| Wine | | | | | | |
| Wine | | | | | | |
| Total weight | | | | | | |
| Tobacco | | | | | | |
| Cigarettes | | | Carton size| | | |
| Cigarettes | | | | | | |
| Cigars | | | | | | |
| Cigars | | | | | | |
| Other (Specify) | | | | | |

| Quantities received in
| New Zealand | Official use only.
| (To be completed by Master.) | Stores issued to crew after arrival.
| | (To be completed by the Customs officer
| | authorizing the issue of stores.) |
| Port ........ | Issued at .............. |
| Date ........ | (Customs officer) |
| Port ........ | Issued at .............. |
| Date ........ | (Customs officer) |

NOTES

1. It is an offence under the Customs and Excise Act 1996 to show inaccurate figures on this stores list. Unless otherwise approved, no goods shown on this form are to be removed from the ships bond while in New Zealand. Any discrepancies may result in penalties under the Customs and Excise Act 1996.

2. Cash Reporting—NZ$10,000 or More: If you are carrying, whether on yourself or in your baggage, cash (being coins or paper money) of NZ$10,000 or more (or the foreign currency equivalent), you are required by the Financial Transactions Reporting Act 1996 to complete a Border Cash Report.

WARNING

There are heavy penalties under New Zealand law for the illicit importation of drugs.

DRUG TRAFFICKING IS NOT WORTH THE RISK

OFFICIAL USE

| Checked | YES □ NO □ | Checked | YES □ NO □ | Checked | YES □ NO □ |
| Sealed | YES □ NO □ | Sealed | YES □ NO □ | Sealed | YES □ NO □ |

| At ........................ |
| (Customs officer) |

| At ........................ |
| (Customs officer) |

| At ........................ |
| (Customs officer) |