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Convoy # : SEA-07-10-09-007 PORTO BURGE TO MUXAR YARD

DEPARTURE DATE: CUSTOMER

7-Oct-09
SDV AMI FILES #

FROM: KOME FROM: Customs document #

PORT OF PEMBA

NUMBER OF TRUCKS: DESCRIPTION

# OF TRUCKS:

1
GROSS WEIGHT (Kgs) TRUCKS ID

TO:
TRAILERS ID

0
TRANSPORTER DELIVERY NOTE

ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO ANADARKO

ANPAL 200019

0 RIDDICK & ASSOCIATES CC 0 0 NA 0 0 0 0 0 0 0 0 0

0 N/A 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 NA

0.00 140.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0 0 0 0 N/A 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0

0 SDV-29.12.2011 0 0 SDV0 0 0 0 0 0 S 0

ANA

N/ASDV-AMI-ANADARKO PROJECT

DAILY ROAD REPORT Dates DAILY ROAD REPORT NTR * INCIDENTS ACTIONS

CHARGEMENT ESTATISTICS
Name 1 0 TOTAL CONVOY LEADER: COMPANY: TCL CELL PHONE: ESCORT VEHICLE : 1 Percentagem 100.00% 0.00% 100% CONVOY ASSISTANT: COMPANY: TCL THU. PHONE: ESCORT VEHICLE: PREPARED BY: PHONE: +258 826691595

* NTR: Nothing To Report

QUAY MANAGER

DESTINATION YARD SUPERVISOR SIGNATURE

#: Custom SEAL #: Other SEAL #: N/A NA NA NA NA M.S. : BNF : NA BL : NA BGFT : NA AWB : SDV-AMI-ANADARKO PROJECT N/A N/A Shipper Declaration Dangerous Goods A Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.D.DELIVERY NOTE . Convoy # : From : To : LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.S.WAY BILL Tracking Reference : ANA DN # : Date : SDV- Part filled by SDV AMI SDV AMI Request Issued by : OLE Client : ANADARKO Client SDV AMI Representative Signature + Stamp Contractor : ANADARKO Date : requested by : OLE/ANDY/TOM Request Issued by : Division : LOGISTIC . HAZ MAT DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: Reserves : Expected delivery to final client OS&D report included : SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative Yes No No APPROVED . Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X X Company : X X Truck ID # : X Trailor # : X Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .

Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.D. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: Reserves : Expected delivery to final client OS&D report included : Yes No SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp APPROVED . BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.WAY BILL Job reference : DN # : Date : Contractor : SDV AMI Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. : BNF : BL : M.DELIVERY NOTE .S.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp TCLIFOOPS05EJ .S.

BGFT : AWB : 000 0005 3384 7/12/2011 140.DELIVERY NOTE .CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .12.S.2011 Contractor : SDV AMI Date : 07.WAY BILL FILE # : ANPAL 200019 DN # : SDV-29.2011 Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client Date : 07.427 APPROVED .S.D.00 N/A 1 Muxara RIDDICK & ASSOCIATES CC OILFIELD SUPPLIES Shipper Declaration Dangerous Goods HAZ MAT 000 0005 3384 N/A Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: 1 Date Requested : Site : Johannesburg Site : Mozambique Transportation References X Company : SDV-AMI ANADARKO PROJECT X Truck ID # : X Trailor # : Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.2011 SDV AMI Representative Signature + Stamp requested by : ANDY Request Issued by : Division : Delivery Convoy # : From : To : Pemba Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.12.12. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No Items under inv. : BNF : BL : M.

Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.DELIVERY NOTE . #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves Yes No No SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp APPROVED .S.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .WAY BILL Job reference : DN # : Date : Contractor : SDV AMI Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.S.D. : BNF : BL : M.

#: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: Reserves : Expected delivery to final client OS&D report included : SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .DELIVERY NOTE . BGFT : AWB : To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.WAY BILL Job reference : DN # : Date : Contractor : SDV-AMI Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : PORT OF PEMBA Date Requested : Site : Site : Transportation References Company : Truck ID # : Trailor # : Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. : BNF : BL : M. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .S.D.S.

Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. : BNF : BL : M.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp . BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .D.S.DELIVERY NOTE .S.

WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : 14-Sep-09 SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : 0-Jan-00 Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.DELIVERY NOTE .CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .S. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .D.S. : BNF : BL : M.

S. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : 14-Sep-09 SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.S. : BNF : BL : M.DELIVERY NOTE .D. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .

WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .D. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .S.DELIVERY NOTE .S. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. : BNF : BL : M.

S.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.DELIVERY NOTE .D.S. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. : BNF : BL : M. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .

CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .DELIVERY NOTE .D.S.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED . : BNF : BL : M.S.

Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED .CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .D. : BNF : BL : M. BGFT : AWB : 18 BIG BAGS WITH CEMENT Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.S.WAY BILL Job reference : DN # : S Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.DELIVERY NOTE .S.

DELIVERY NOTE .S. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED . : BNF : BL : M.D.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References X Company : X Truck ID # : X Trailor # : X Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .S.

#: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED . BGFT : AWB : COMARCO 251/CPC TRACECARTI Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.DELIVERY NOTE .S.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No.D. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References Company : Truck ID # : Trailor # : Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.S.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp . : BNF : BL : M.

S. : BNF : BL : M. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References Company : Truck ID # : Trailor # : Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED . BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.S.D.CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .DELIVERY NOTE .

S.D. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED . BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc. Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References Company : Truck ID # : Trailor # : Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. : BNF : BL : M.DELIVERY NOTE .CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .S.

CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACE Documents Received C l i e n t name + date & time + Signature + Stamp T C L name + date & time + Signature + Stamp Truck / Wagon Released name + date & time + Signature + Stamp CUSTOMS OFFICER date & time + Signature + Stamp name + date & time + Signature + Stamp .D. #: Custom SEAL #: Other SEAL #: DRIVER' S SIGNATURE Name + date and time + Signature RECEIVER Company's name: Receiver's name: : Expected delivery to final client OS&D report included : Reserves SDV AMI ANADARKO CAMPAIGN Client Representative date & Time + Signature + Stamp SDV AMI Representative name + date & time + Signature + Stamp Yes No No APPROVED . Of PKGS: DELIVERY PLACE: CONSIGNED MATERIAL: Comments Date Requested : Site : Site : Transportation References Company : Truck ID # : Trailor # : Low Boy Document provided Tool box meeting insurance certificate packing list # : customs clearance declaration Transit Doc.S.S.WAY BILL Job reference : DN # : Date : Contractor : ANADARKO Date : SDV AMI Representative Signature + Stamp Part filled by SDV AMI SDV AMI Request Issued by : WESSEL STANDER Client : ANADARKO Client requested by : ASSIF MUSSA Request Issued by : Division : LOGISTIC Delivery Convoy # : From : PORT OF PEMBA To : Descriptions LOADING DATE & TIME: GROSS WEIGHT (kg): GROSS VOLUME (CBM): CONTENTS: TOTAL No. BGFT : AWB : Shipper Declaration Dangerous Goods HAZ MAT Cargo details BL/AWB #/PO #: Vessel/Flight #: Container #: Custom Doc.DELIVERY NOTE . : BNF : BL : M.