WB FORM 61 5-5 
(8-63) 
U.S. DEPARTMENT OF COMMERCE 
WEATHER BUREAU 
SHIP’S WEATHER OBSERVATIONS 
NAME OF VESSEL 
□ S/S 
□ M/V _ 
MAILING ADDRESS (American addresses preferred) 
CALL SIGN 
CHECK FORMS OR SUPPLIES REQUIRED 
CU SHIP’S WEATHER OBSERVATIONS, WB FORM 615-5 
n METEOROLOGICAL RADIOTELEGRAM, WB FORM 630-9 
O BAROGRAM, WB FORM 455-1 2 
WEATHER MAP BASES 
[] N. ATLANTIC - U.S. INTERCOASTAL 
[] N. PACIFIC - U.S. INTERCOASTAL 
Q S. ATLANTIC - U.S. INTERCOASTAL 
Q S. PACIFIC - INDIAN OCEAN 
Q WEATHER SERVICE FOR MERCHANT SHIPPING 
□ ENVELOPES 
INSTRUMENTS IN NEED 
OF SERVICE 
1 1 BAROMETER 
1 1 BAROGRAPH 
1 1 PSYCHROMETER 
DO NOT WRITE 
BELOW 
RECEIVED ( Weather Bureau Office) 
ACTION TAKEN (Check one) 
I I SUPPLIES FURNISHED AS MARKED X Q ACKNOWLEDGED 
I I ALL ACTION REFERRED TO CENTRAL OFFICE 
DATE ACTION TAKEN 
U.S. GOVERNMENT PRINTING OFFICE : 1963 OF —681975 
USCOMM-WB-DC 
