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pdfFUEL PURCHASE PRICE LOG
Instructions: Enter the vessel name, registration number, and main engine
horsepower at the left. When you purchase fuel, provide the date, number
of gallons, price per gallon, port or city and state where you purchased the
fuel in the spaces provided below.
Registered Vessel Name
State Vessel Reg. No.
Main Engine Horsepower
DO NOT REMOVE OR MAIL THESE SHEETS.
THIS INFORMATION WILL BE PERIODICALLY COLLECTED BY STATE PERSONNEL
Date
# Gallons
OMB#0648-0782, Exp: XX/XX/20XX
Price/Gallon
Port/City
State
Date
# Gallons
Price/Gallon
Port/City
State
| File Type | application/pdf |
| Author | Kat |
| File Modified | 2022-06-01 |
| File Created | 2017-05-12 |