船舶检疫收费单

Ship’s Quarantine Dues Bill

船名航次                                      国籍

Ship’s Name/Voy. No. Nationality

总吨位                                         开来港/开往港

Cross Tonnage            Last Port/Next Port

代理                                                        船长签字

Agent             Captain Signature

日期                                            盖章

Date                        Ship’s Stamp

检疫费     证书费     交通费     验舱费     合计