DE-15

Barber Ship Management Rev 01/05

Landed Goods Form / Invoice

M.V. HEROIC ACE Date : 8-Jul-07

PO Number :

DESCRIPTION
QTY WEIGHT ITEM VALUE ( USD )

1 1/2" Air hose pipe. L= 25 mtr

REASON FOR LANDING

WRONG SUPPLY

CONSIGNEE
KCH SINGAPORE.

INSTRUCTION

AGENT DETAILS
MOL SINGAPORE

Master / CE Sign
as Agents only for and on behalf of vessel owner
Goods Received and Instructions understood

Name :

Company : KCH, SINGAPORE Signature :

1.) All items shall be listed under "DESCRIPTION" or an inventory list is to be attached. One form to be filled in for each receiver,
and value noted for customs purpose only.
Packing list shall be placed both outside as well as inside the box/crate/parcel.
Packing list shall also at all times accompany the invoice.

2.) Under INSTRUCTION agent/shipchandler should be instructed to insure the goods for the value noted,
as well as urgency of the shipment

3.) 1 copy vessel / 1 copy company / 1 copy receiver

 DE-15
Barber Ship Management Rev 01/05

Above information is believed to be correct, but not guaranteed.