Attachment 2(5,6/8) - Port Of Fujairah

Marine Pharma (FZE)N.M : 148Attachment : 2Page : 5/8 ( )_________________________________________________________________LETTER OF DELIVERY AND RECEIPT To: Ministry of HealthPharmacy and controlled medicine departmentFujairah, UAEDate:Dear Sir,Sub: Hand over of near expiry or expired medicines from Marine Pharma medical store to MOH Fujairah Medicine storeKindly accept the near expiry or expired medicines collected by Marine Pharma Medical Store located inside the Port ofFujairah in collaboration with Fujairah customs authority received from the ships at Fujairah anchorage as per theattached documents.Details as follows:-DatelandedName of shipNbr ofboxesWeightShip AgentKindly note for your record we have attached a complete set of the following five documents:-1. Copy of Ship Agent boarding request to bring expired medicines ashore for disposal2. Copy of boarding receipt for collection of expired medicines with Masters signature and ship’s stamp3. Copy of List of landed medicines with Master signature/ships stamp.4. Copy of Certificate of receipt of expired medicines signed by Master and Pharmacist.5. Copy of permission letter from Fujairah Customs to bring the expired medicines from Fujairah port to MarinePharma Medical storeSigned Marine PharmaMr.________________Signed Fujairah CustomsMr.__________________StampReceived byMinistry of Health, Pharmacy and controlled medicines departmentMr._____________________Signature & StampStamp____________________________________________________________________________________________________________________________________Tel : (971-9) 2228007هاتف -9)2228007 (971فاآس -9)2228008 971 ( 2228008 (971-9) : FaxFujairah –P.O.Box : 1195- United Arab Emiratesالفجيرة – ص.ب:‏ – 1195الامارات العربية المتحدة

N.M : 148Attachment : 2Page : 6/8Marine Pharma (FZE) ( )_________________________________________________________________LETTER OF DELIVERY AND RECEIPT / / : – : , : -: : - 1 -2 / -3 -4 -5 / ------- -------- -------- _________________________________________________ ________________________________ ___________________________________________________Tel : (971-9) 2228007(971 -9)2228007فاآس -9)2228008 971 ( 2228008 (971-9) : FaxFujairah –P.O.Box : 1195- United Arab Emirates– ص.ب:‏ – 1195هاتفالفجيرةالامارات العربية المتحدة