Ref No: PHY 10>763

/o2786

GCC SUPPLY&TRADING
BUNKER DELIVERY NOTE
5773 Richmond Ave, Suite 250,
713-880-9812 www.GCCllc.com
Houston, TX 77046

Name of Vessel:
IMO Number:930 6196
Port of Delivery:
aleua
BARßouat CuT
orge/p Reference
No.:
IABY 28750
Flag:
Destinatiom:
oREI&N
DMA
Grade
VLSFO
Kin. Viscositn at S0 C. eS 12,44
Densin' at 15 C (KG 1) 9to. S
Sulfur Content 6 MM O,y6
Net Barrels /8K35. 6S
Meric tons 3751. 77
Temperature. °F 1.
7230
Flash Point. °F

Finished:
Remarks Commenced:
N
Date Time BargeTruck
Loaded:
N/a Commenced: O31S
Finished:
//35
Date Time Delivered: o06o>3
apply and enforce maritime
a
sample(s) received in good order transaction. The Seller's right to
Bunkers and representative
responsible for the debt incurred through
this
The vessel is ultimately
similar marking.
disclaimer stamp or
the application of any
regulations 14(1)d 18(
delivered under this receipt are in
confomance with Annex VI of MAPOL 73/78,
Seller declares that products
s t a t eo r
CERTIFICATES o n or
EXEMPTION
FEDERAL EXCISE TAX the transportation of persons or property received will be used strictas
TAX & is engaged in Stat. All fuel
STATE SALES certifies that this vessel, operated by the undersigned, delivered in nor those ot
t
The purchaser hereby of the state fuel is
on the inland walerways
vessel operates neither

oDimmit
this common carrier.
commerce. Furhemore, as a privale or
business or operating
supplies for this vesselin connection with its
M.V PALENA
GASOIL onlyPenalty for taxable u
Dyed Diescl uel. For non-17

FORSEETER/TRANSPORTER
MASTERHIERERUKTENGINEER

Supplier MARPOoL
Sample Distribution/Seal Numbers Vessel Supplier Vessel MARPOL

Grade /337818 /3378/9 /337617|/337820

VLSFO
Grade:

Grade:
N
NA Sulphur content does not exceed:
18.3 of MARPOL Annex VI and that the
Seller certifies that the fuel oil supplied is in conformity with regulation

regulation 14.1 MARPOL Annex VI (RMG);

appropriate) per the limit value in
mor p.50% m/m (delete as as
35
of MARPOL Annex VI (DMA); or
NA9.10% m/m as per the limit value in regulation 14.4
(%m/m)
the purchaser's specified limit value of

The vessel is responsible for all hose connecting and disconnecting. If vessel is unable to take delivery of the full quantity ordered, all expenses in connection with
representative to check and witness the opening and
to the installalion shall be for buyer's aceount. The vessel's management is invited to appoint a
reluning the fuel
closing meter readings or tank dips. Supplier's measurements are final and binding.
WARNING
The vessel's staff in charge of bunkering operations must NOT elose valves on board without irst givingample warning to theattendant ofthe delivering
facility. Any instructions from the vessel's staff, such as "ease down" or "'stop" will be carried out immediately to avoid excessive pressure on the pipeline
which may cause hoses to burst. Prior to bunkering operations, every precaution must be taken to avoid contamination by oil spillage, such as the placing of
drip pans, the closing of seuppers, etc. Any oil spillage will automatically be the sole responsibility of the receiving vessel if this warning is ignored. Any
indication ofcontaminationMUST beimmediately reported totherelevant authoritiesby thestalf ofthedelivering facility,
Place Xiution to witness reading/dips:
CCERTED DECLINED
Dale
O106-20>3
Master/Chief Engineer M. V,
ALENA
CHH ENGINEER
VERSION 2021A