What information is shown on a bunker delivery note, as shown in Appendix V of the revised MARPOL Annex VI?

Port; Date of commencement of delivery; Name, address, and telephone number of marine fuel oil supplier; Product name(s); Quantity in metric tons; Density at 15°C, kg/m3; Sulphur content (%m/m); A declaration signed and certified by the fuel oil supplier's representative that the fuel oil supplied is in conformity with the applicable subparagraph of MARPOL Annex VI reg. 14.1 or 14. 4 (sulphur content outside and within ECAs) and reg. 18.3 (fuel oil quality).