GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES
GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL ENFORCEMENT REQUEST FOR VESSEL INFORMATION All Blanks Must Be Filled In NAME: _____________________________________ TITLE: _________________________ AGENCY: __________________________________ CONTACT NO: ___________________ REGISTRATION/DOCUMENTED NO: __________________________________________ REQUESTED INFORMATION: _________________________________________________ REASON FOR REQUEST: _____________________________________________________ SIGNATURE: _____________________________________ DATE: ____________________ DO NOT WRITE BELOW THIS LINE VESSEL OWNER: ____________________________________________________________ REGISTRTION STATUS: Current Last Registration Date ______________________ INFORMATION PROVIDED: __________________________________________________ ______________________________________________________________________________ COMMENTS: ________________________________________________________________ OFFICE PERSONNEL: ________________________________ D …
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GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL ENFORCEMENT REQUEST FOR VESSEL INFORMATION All Blanks Must Be Filled In NAME: _____________________________________ TITLE: _________________________ AGENCY: __________________________________ CONTACT NO: ___________________ REGISTRATION/DOCUMENTED NO: __________________________________________ REQUESTED INFORMATION: _________________________________________________ REASON FOR REQUEST: _____________________________________________________ SIGNATURE: _____________________________________ DATE: ____________________ DO NOT WRITE BELOW THIS LINE VESSEL OWNER: ____________________________________________________________ REGISTRTION STATUS: Current Last Registration Date ______________________ INFORMATION PROVIDED: __________________________________________________ ______________________________________________________________________________ COMMENTS: ________________________________________________________________ OFFICE PERSONNEL: ________________________________ DATE: _________________