\,

ORIGINAL CUSTOT'/'lER
Lanka Marine Services (Pvt) Ltd
04, Leyden Bastian Road, Colombo 1,
Sri Lanka ....--:..-
BUNKER DELIVERY NOTE NO. l-.i-
'J 111
i *
Telephone + 94 11 2475412,2475413
Fax +94 11 2475399

stomer S E A LoN SoR.T Ii-I T4 Nonrination No. t ? l+2+t+

ssel X PR trSS NUPTSE Date of Delivery !l /oBlzotS
,C No. :
362t630 Destination Port/Position C- I{IT'TA &ONG
Co Lot"{ g,., / ANeH / '?
:livery Port left lN VesselAlongside

riivery Method Pipe tl I t'uck fl Barge lZ Nanre: LMl{

,livery Commenced ? i +2 i+RS Delivery Completed 23 3 0 \-lRs

FUEL CHARACTERISTICS
ade Marine Fuel Oil- 3ttO CST Marine Gas Oil
mm2is @40 "C
scosity a5f(.5 mm2/s @ 50 "C

;nsity q t( A. . X Kg/m3 Kg/m3

,riphur % Mass
uC
zi 8l
ash Point S+
QUANTITY
lrnp
oC
i6 Measured Litres 30_q 3 6_q
a* ric Tonnes Delivered 2 S1g. 9r3
\s per local ractices
SAMPLE SEAL Nos I confirm receipt of the 2 samples indicated.
ARPOL ANNEX Vl Retained Sample r\,
:ssel Retained Sample {nr*--\
t
I'4. S. Retained Sample No 1
'--- -.-'-

?!4. S. Retained Sample No 2 Signature of Receiving Vessel (C/E)

Acknowledgments - Vessel Representative
:bnfirm ihat I have taken delivery of the above products hecked the barge for free water YeslTi NOl-_}
ether with a sealed sample of each. Checked the barge soundings Before Yesl-7.l NOU
Checked ihe barge soundings After Yes l-izl NO E
ignature of (ClE)
Declined to check soundings on barge Before Yesl--l NOE
eceiviqg vessell
+B=* Declined to check soundings on barge After Yesl----l NOEI "hY':;
ame of (C/E) H4tuf F siqnature of Enqineer :
Acknowledgments - Fuel Supplier
he fuelsupplied in this delivery is in conformity with Regulation 14 (1)or (a)(a)and Regulation 1B (1)of Annex Vl of MARPOLT3ITB

;ignature of Bunkering
Supervisor RSU R RO HR NA

elivered ihe above quantiiy in good order and cri,Qflijo.AfqfiusE"aS uhkers r with representative samples as indrcated abo
lli:C 9'1 J:-133-t'

iignature of Bunkering
Supervisor T's' 5r I,JR 8-S H R A/ A

i.emarks Lhy Skt'/IPLL S L No. 2 87tT

(PVT) LTD.
\LL DELIVERIES ARE SUBJECT TO THE STANDARD TERMS AN3 CONDITIONS OF SA.LE OF LANKA MARINE SERVICES
(A COPY OF WHICi-l IS CN THE REVERSE OF THIS PAGE)