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PAGE OF PAGES ORDER FOR SUPPLIES OR SERVICES 1 IMPORTANT: Mark all packages and papers with contract and/or order numbers. 6. SHIP TO: 2. CONTRACT NO. (If any) 1. DATE OF ORDER DTMA-91-C-2011-0011
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BUSINESS ADDRESS 6. SHIP TO: 7. AUTHORIZED SHIPPING OFFICER (Address correspondence to) U.S. DOT/ Maritime Administration 7. SHIP TIME (Please write this) D-2522-C-2/0 7:15PM EST or within 3 weeks after contract signature; or D-2534-C-2/0 (after contract signature). 8. CONTACT INFORMATION (Email address & phone number) 9. SPECIAL EMERGENCY NOTIFICATIONS/NOTICE 9.1 IF A SOUNDING SURPRISE HAS BEEN MADE AND YOU HAVE SEEN A SURPRISE AND NOW HAVE QUESTIONS, CONTACT (CONTACT INFORMATION IN PARAGRAPH B. OF PREVIOUS SUBPARAGRAPH 9.1.) SHIP TO: 9.2 IF YOU HAVE CONTACTS IN ANY COUNTRY OTHER THAN YOUR OWN, CONTACT THE DRILLING OPERATOR (CONTACT INFORMATION IN PARAGRAPH B. OF PREVIOUS SUBPARAGRAPH 9.1.) 11. DRILLING ORDER: (Ship location) 1. Name of receiver: (Contact name/address). 2. Name of contract agent: (Contact name/address). 3. Port of destination: (Contact name/address) (For information on ports by country, visit and click on a country. For details of which ports are listed in the world map, see section 9 of this contract.) 4. Address of shipyard: (For information on shipyard addresses, see section 9 of this contract.) 5. Address: (For directions, see section 10 of this contract.) 6. Mail: (All communications pertaining to this program should be addressed to the “Shipwright — U.S. DOT Shipwright's Office — Pier 1, New Jersey, P.O. Box 488 Newark, DE 19713.”) 7. Note: Please mail all necessary paperwork, including this order form. Mail it only to the recipient address given in the contract. DURING OR DETAILED SCHEDULES FOR THE PADDLE EMAIL DEVELOPMENT PROGRAM ARE NOT SUBJECT TO THIS CONTRACT. DETAILED SCHEDULES FOR THE PADDLE EMAIL PROGRAM ARE SUBJECT TO THIS AGREEMENT. 8. CIVIL LIABILITY.

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