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Division Example of a filled in page for navigation time and stretches sailed

United Kingdom

Original text. Later amendments are not shown.

Navigation time and stretches of inland waterways sailed over last 15 monthsYear: 2015/2016

The number of days navigated must be consistent with the navigation time entered in the logbook

ABCDEFG
1 07000281Rotterdam (999,90)Mainz (500,00) Wien (1930,00)22.11.151117.12.1515Signature Huber
2 07000281Wien (1930,00) Mainz (500,00) Basel (169,90)20.12.1544.1.1612Signature Huber
3 07000281Basel (169,90) Rotterdam (999,90)6.1.16010.1.165Signature Huber
4 07000281Rotterdam (999,90) Antwerpen (20,00) Basel (169,90)13.1.16123.1.1610Signature Huber
5 07000281Basel (169,90) Antwerpen (20,00)25.1.16029.1.165Signature Huber
6 07000281Antwerpen (20,00) Basel (169,90)1.2.1607.2.167Signature Huber
7 07000281Base (169,90) Mainz (500,00) Bratislava (1867,00)9.2.16522.2.169Signature Huber
8 07000281Bratislava (18657,00) Regensburg (2376,30)27.2.1602.3.165Signature Huber
9 07000281Regensburg (2376,30) Mainz (500,00) Rotterdam (999,90)3.3.1609.3.167Signature Huber
10 07000281Rotterdam (999,90) Basel (169,90)12.3.16017.3.166Signature Huber

Complete document ☑ yes ☐ no

☐ Doubts at line(s) __________

Doubts have been eliminated by presenting ☐ (parts of) the logbook ☐ other official documents

Space reserved for the competent authority

To be completed by the authority: total number of navigation days taken into consideration from this page81

Validation mark of the competent authority

Presented on (date) _15.04.16

Signature and stamp of the authority

SRBXXXXSSSS