DSI-5-01.

1 STAR SHIP

STORE REQUISITION AND CONFIRMATION LIST

X Planned requisition for three (3) months Unplanned urgent requisition Order No:
Department: DECK (Safety / Stationary / Cabin / Medicine / Paint / Stores) X ENGINE (Engine / Electrical)

Vessel: MICHEL Date: 1/13/2022

No Description of the goods ROB Required Confirmed

DG CATERPILLAR 3306B 1989y.b

For water cooling pump ( Position N 19: seal assem 6N9312 ) 2 pcs
Number of this spare part were taken from Parts Book 3306
Generetor Set Engine

VESSEL APPROVAL COMPANY APPROVAL

Required by Confirmed by
Name : Name :

Rank : Rank :

Sign : Sign :
C.Eng : Date :
Master :

Name-sign-stamp

*All
*All stores requisitions
pages for are to
departments andberequisition
done once in every
class three
must months periodically
be seperate. unless the requisition is urgent.
(Ex: Deck,medicine)
Date of Issue : 01/05/2019 Rev. No & date : - Page No: 1/1