NORD N

Dampskibsselskabet NORDEN A/S, 49, Amaliegade, DK-1256 Copenhagen K.

Telephone + 45 33 15 04 51. Telefax + 45 33 93 15 99 Tanker. Telefax + 45 33 93 37 33 Technical.
Telex 22445. E-mail: tankers@ds-norden.com. Comtext A53DK0 33. www.ds-norden.com

CERTIFICATE OF DELIVERY/REDELIVERY

VESSEL:

GT

CALL SIGN:

NT

DWT

This is to certify that above vessel has been delivered/redelivered from/to Owners Dampskibsselskabet NORDEN A/S of
Copenhagen from/to the Charterers:

on

Dropping last outbound sea pilot/passing

(port/place)

(date) (hrs)
(year).
In accordance with the time charter party

dated

(place).

At time of delivery/redelivery, bunkers remaining onboard:

:

MT

MDO :

MT

MGO :

MT

Fuel

(place)

for and on behalf of the Owners:

(date)

(year)

Master

Chief Eng.

for and on behalf of the Charterers:

Title

Title

Form tk17