Stonewin (Mauritius) Ltd BDN No:

Trading License No: COM/BUN/016/N1218

Allée Brillant, Castel, Phoenix, Republic of Mauritius
Phone: +371 6 771 68 00
E-mail: mauritius.ops@stonewin.org

BUNKER DELIVERY NOTE

Port Port Louis, Mauritius Customer name
Delivery Location Anchorage (Owner/Charterer)
Bunker Tanker´s name M/T HAKKASAN
Contract reference
Date Time Quantity ordered (MT)
Alongside Delivery Date
Commenced Pumping Vessel´s name
Completed pumping IMO no.
ETD
Final Port of Call

PRODUCT SUPPLIED
Fuel Characteristics Quantity
Product name x Gross Observed Vol M˄3
Viscosity mm²/s@50°C x Gross Standard Vol M˄3 @15 °C
Density @ 15°C x Delivered Quantity (Air) Metric Tons
Water content % V/V x
Flash Point ° C x
Sulphur Content % Mass x
Pour Point ° C x

SAMPLES
Sample Seal No. (Bunker Barge) Counter Seal No. (RECEIVING VESSEL)
Marpol Annex VI Retained Sample (Vsl)
Vessel Retained Sample
Retaimed Sample 1 (BARGE)
Retaimed Sample 2 (BARGE)
Surveyor Retained Sample
Other Retained Sample

SUPPLIERS CONFIRMATION MASTER´S/CHIEF ENGINEER´S ACKNOWLEDGEMENT

The fuel oil supplied is in conformity with regu- I certify that the above goods in the quantities stated have
lation14(1) or 14 and regulation 18(1) of Annex VI been received in good order and condition, together with
of Marpol 73/78 a sealed representative sample.

For Stonewin (Mauritius) Ltd: For Customer:

Name in full: Name in full:

Signature Signature (Master/Chief Engineer):

Date: Date:

Bunker Tanker´s Stamp: Vessel´s Stamp:

SUBJECT TO THE COMPANY’S GENERAL TERMS AND CONDITIONS OF SALE, A COPY OF WHICH CAN BE
OBTAINED ON REQUEST