46 C.F.R. Exhibit No. 1 to Subpart O [§502.252] of Part 502—Reparation Statement To Be Filed Pursuant to Rule 252
Title 46 - Shipping
Title 46: Shipping
PART 502—RULES OF PRACTICE AND PROCEDURE
Subpart O—Reparation
Exhibit No. 1 to Subpart O [§502.252] of Part 502—Reparation Statement To Be Filed Pursuant to Rule 252
Claim of __________ under the decision of the Federal Maritime Commission in Docket No. __________.-------------------------------------------------------------------------------------------------------------------------------------------------------- Date of As charged Should be delivery Date Port -------------------------------- ChargesDate of or tender charges Vessel Voyage of Destination Route Commodity Weight or Reparation paid by B/L of paid No. origin port measurement Rate Amount Rate Amount * delivery-------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------- *Here insert name of person paying charges in the first instance, and state whether as consignor, consignee, or in what other capacity.
Total amount of reparation $____________________. The undersigned hereby certifies that this statement has been checked against the records of this company and found correct. Date ____________________.____________________ Steamship Company, Collecting Carrier Respondent,By ____________________, AuditorBy ____________________, Claimant____________________, Attorney(address and date)
