ORANGE
COUNTY NAVIGATION
AND PORT DISTRICT
1201 Childers Road - P. O. Box 2410
Orange, Texas 77631-2410
Business: (409) 883-4363
Fax: (409) 883-5607
Gene
Bouillion
Port Director / CEO
| REQUEST FOR BERTH |
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ORANGE
COUNTY NAVIGATION
Gene
Bouillion |
| Dated at Orange, Texas: | ||||||||
| Vessel: | Flag: | |||||||
| Loading Ports: | ||||||||
| Gross Registered Tonnage: |
Tons |
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| LOA: |
Ft |
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Request is made for berth for the vessel named above. We agree to be bound by all rules, regulations, terms, conditions, and charges of the Port of Orange tariff, including those provisions under which the port may require a vessel to shift berth, vacate a berth, or work overtime.
| Expected Arrival |
Expected Sailing |
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| Cargo to consist of the following: | ||||||||||||
| Inbound | Weighing | Net Tons | ||||||||||
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(commodity) |
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| Out bound | Weighing | Net Tons | ||||||||||
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(commodity) |
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| Destination or Origin of Cargo: | ||||||||||||
If there is any change in above we will promptly notify you
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For Port Use |
Responsible Party |
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| Assigned | Agency | |||||||||||
| Berth | Representative | |||||||||||
| Arrived | Mailing Address | |||||||||||
| Sailed | ||||||||||||
| Phone |
Fax: |
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