delivery note 1 marcelo

18
Convoy # : SEA-07-10-09-007 PORTO BURGE TO MUXAR YARD DEPARTURE DATE: 7-Oct-09 FROM: PORT OF PEMBA # OF TRUCKS: 1 TO: 0 CUSTOMER SDV AMI FILES # Customs document # DESCRIPTION TRUCKS ID TRAILERS ID TRANSPORTER DELIVERY NOTE ANADARKO ANPAL 200019 0 0 0 0.00 0 0 0 0 ANADARKO RIDDICK & ASSOCIATES CC N/A 0 140.00 0 0 0 SDV-29.12.2011 ANADARKO 0 0 0 0.00 0 0 0 0 ANADARKO 0 0 0 0.00 0 0 0 0 ANADARKO ANA NA 0 0 NA 0.00 N/A N/A DV-AMI-ANADARKO PROJE SDV- ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 0.00 0 0 0 S ANADARKO 0 0 0.00 0 0 0 0 ANADARKO 0 0 ANADARKO ANADARKO ANADARKO DAILY ROAD REPORT Dates DAILY ROAD REPORT NTR * INCIDENTS ACTIONS CHARGEMENT ESTATISTICS Name Percentagem 1 100.00% 0 0.00% TOTAL 1 100% CONVOY LEADER: CONVOY ASSISTANT: PREPARED BY: COMPANY: TCL COMPANY: TCL PHONE: +258 826691595 CELL PHONE: THU. PHONE: * NTR: Nothing To Report ESCORT VEHICLE : ESCORT VEHICLE: QUAY MANAGER DESTINATION YARD SUPERVISOR SIGNATURE GROSS WEIGHT (Kgs)

Upload: katia-cassimo

Post on 25-Aug-2014

25 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Delivery Note 1 Marcelo

Convoy # : SEA-07-10-09-007 PORTO BURGE TO MUXAR YARD DEPARTURE DATE: 7-Oct-09 FROM: PORT OF PEMBA # OF TRUCKS: 1 TO: 0

CUSTOMER SDV AMI FILES # Customs document # DESCRIPTION TRUCKS ID TRAILERS ID TRANSPORTER DELIVERY NOTE

ANADARKO ANPAL 200019 0 0 0 0.00 0 0 0 0ANADARKO N/A 0 140.00 0 0 0 SDV-29.12.2011ANADARKO 0 0 0 0.00 0 0 0 0ANADARKO 0 0 0 0.00 0 0 0 0ANADARKO ANA NA 0 0 NA 0.00 N/A N/ASDV-AMI-ANADARKO PROJECT SDV-ANADARKO 0 0 0.00 0 0 0 0ANADARKO 0 0 0.00 0 0 0 0ANADARKO 0 0 0.00 0 0 0 0ANADARKO 0 0 0.00 0 0 0 0ANADARKO 0 0 0.00 0 0 0 0ANADARKO 0 0 0.00 0 0 0 0ANADARKO 0 0 0.00 0 0 0 SANADARKO 0 0 0.00 0 0 0 0

ANADARKO 0 0 ANADARKO ANADARKO ANADARKO

DAILY ROAD REPORT

Dates DAILY ROAD REPORT NTR * INCIDENTS ACTIONS

CHARGEMENT ESTATISTICSName Percentagem

1 100.00% 0 0.00%TOTAL 1 100%

CONVOY LEADER: CONVOY ASSISTANT: PREPARED BY: COMPANY: TCL COMPANY: TCL PHONE: +258 826691595CELL PHONE: THU. PHONE:

* NTR: Nothing To ReportESCORT VEHICLE : ESCORT VEHICLE:

QUAY MANAGER DESTINATION YARD SUPERVISOR SIGNATURE

GROSS WEIGHT (Kgs)

RIDDICK & ASSOCIATES CC

Page 2: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : SDV-Tracking Reference : ANA

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : OLE Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : OLE/ANDY/TOM Date :

Request Issued by :

Division : LOGISTIC.

Convoy # : Date Requested :From : Site :

To : Site : Transportation References

LOADING DATE & TIME: X Company : SDV-AMI-ANADARKO PROJECTXGROSS WEIGHT (kg): X Truck ID # : N/AXGROSS VOLUME (CBM): X Trailor # : N/A

CONTENTS: X

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : NA BGFT : NABL : NA AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

ACargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #: N/AContainer #: NA Custom Doc. #: NACustom SEAL #: NAOther SEAL #: NA

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 3: Delivery Note 1 Marcelo

TCLIFOOPS05EJ

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : SDV AMI Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # :customs clearance declaration

Transit Doc. :

BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #: Container #:Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes

Page 4: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : SDV-29.12.2011FILE # : ANPAL 200019

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date : 07.12.2011

Client : ANADARKO Contractor : SDV AMI Signature + StampClient

requested by : ANDY Date : 07.12.2011

Request Issued by :Division :

DeliveryConvoy # : 1 Date Requested :

From : Site : Johannesburg

To : Pemba Site : Mozambique

Descriptions Transportation References

LOADING DATE & TIME: 7/12/2011 X Company : SDV-AMI ANADARKO PROJECT

GROSS WEIGHT (kg): 140.00 X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: N/A Low Boy

TOTAL No. Of PKGS: 1 Document provided

DELIVERY PLACE: Muxara Tool box meeting

CONSIGNED MATERIAL: RIDDICK & ASSOCIATES CC insurance certificate packing list # :

OILFIELD SUPPLIES

customs clearance declarationTransit Doc. :BNF : BGFT :BL : AWB : 000 0005 3384

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: 000 0005 3384 Name + date and time + SignatureVessel/Flight #: N/AContainer #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

Items under inv.427

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes

Page 5: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : SDV AMI Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #:

Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 6: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : SDV-AMI Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: Company :

GROSS WEIGHT (kg): Truck ID # :

GROSS VOLUME (CBM): Trailor # :

CONTENTS: Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #:

Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 7: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 8: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date : 14-Sep-09

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested : 30-Dec-99

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 9: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date : 14-Sep-09

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 10: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 11: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 12: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :XGROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 13: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : SJob reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: Low BoyXTOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # :

18 BIG BAGS WITH CEMENT

customs clearance declarationTransit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 14: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # :Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: X Company :

GROSS WEIGHT (kg): X Truck ID # :

GROSS VOLUME (CBM): X Trailor # :

CONTENTS: X Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 15: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :

Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: Company : COMARCO

GROSS WEIGHT (kg): Truck ID # : 251/CPC TRACECARTI

GROSS VOLUME (CBM): Trailor # :

CONTENTS: Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 16: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :

Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: Company :

GROSS WEIGHT (kg): Truck ID # :

GROSS VOLUME (CBM): Trailor # :

CONTENTS: Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 17: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :

Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: Company :

GROSS WEIGHT (kg): Truck ID # :

GROSS VOLUME (CBM): Trailor # :

CONTENTS: Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes

Page 18: Delivery Note 1 Marcelo

DELIVERY NOTE - WAY BILL

DN # : Job reference :

Part filled by SDV AMI SDV AMI

SDV AMI RepresentativeRequest Issued by : WESSEL STANDER Date :

Client : ANADARKO Contractor : ANADARKO Signature + Stamp

Clientrequested by : ASSIF MUSSA Date :

Request Issued by :Division : LOGISTIC

DeliveryConvoy # : Date Requested :

From : PORT OF PEMBA Site :To : Site :

Descriptions Transportation References

LOADING DATE & TIME: Company :

GROSS WEIGHT (kg): Truck ID # :

GROSS VOLUME (CBM): Trailor # :

CONTENTS: Low Boy

TOTAL No. Of PKGS: Document provided

DELIVERY PLACE: Tool box meeting

CONSIGNED MATERIAL: insurance certificate

Comments packing list # : customs clearance declaration

Transit Doc. :BNF : BGFT :BL : AWB :

Shipper Declaration Dangerous Goods M.S.D.S.

Cargo details HAZ MAT DRIVER' S SIGNATUREBL/AWB #/PO #: Name + date and time + SignatureVessel/Flight #:Container #: Custom Doc. #: Custom SEAL #:Other SEAL #:

RECEIVERCompany's name: SDV AMI ANADARKO CAMPAIGN Client Representative SDV AMI RepresentativeReceiver's name: date & Time + Signature + Stamp name + date & time + Signature + Stamp

Expected delivery to final client :Reserves OS&D report included :

APPROVED - CARGO AND DOCUMENTS RECEIVED @ DELIVERY PLACECUSTOMS OFFICERDocuments Received Truck / Wagon Released

name + date & time + Signature + Stamp name + date & time + Signature + Stamp date & time + Signature + Stamp

name + date & time + Signature + Stamp name + date & time + Signature + Stamp

Client

TCL

No Yes No Yes