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Payment Receipt and Release Letter

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PAYMENT RECEIPT AND RELEASE LETTER

I, ……… ( name / surname) who is acting as….. ( job/ rank ) on board of the vessel
M/V …………….. ( Imo no …………../ (flag )………….) by signing this Payment
Receipt and Release Letter , hereby irrevocable accept and declare that;

* I have received from the owner of the said vessel ……….. USD cash ,

(mümkünse rakamı personel elle yazsın)

* This is the full payment of my service for a period of …./ 5.2019 - …./ 08/ 2019
including all wages , overtime payments, bonuses etc. which I have entitled to
collect from the owner.

* I have no any claim against the vessel , owner / manager of the said vessel and
hereby irrevocably and unconditionally release the vessel, owner / manager.

Name / Surname
Date / Signature

(El yazısıyla personel yazsın)

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