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29-20 Quarterly Report on Production, Sales and Inventory for Small Scale Mines Within Mineral Reservations
MGB quarterly report form for small scale mines with mineral reservations
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
MGB Form No. 29-20
MINES AND GEOSCIENCES BUREAU
QUARTERLY REPORT ON PRODUCTION, SALES AND INVENTORY
FOR SMALL SCALE MINES WITHIN MINERAL RESERVATIONS
NAME OF PERMITTEE
:
MAILING ADDRESS
:
LOCATION OF PERMIT AREA :
MONTH/
YEAR
PRODUCTION
QUANTITY
GRADE
(MT; kg)
SSMP NO.:
DATE ISSUED :
MINERAL RESERVATION :
MINERAL COMMODITY PRODUCED
QUANTITY
(MT; kg)
INVENTORY
GRADE
QUANTITY
(MT; kg)
GRADE
SALE S
FOB VALUE
(P)
EXPECTED MONTHLY PRODUCTION
DATE
CONSIGNEE/BUYER/
ADDRESS
NAME OF VESSEL DESTINATION
TOTAL
EXPLANATION ON THE DECREASE/INCREASE IN PRODUCTION (IF NEW, DATE OF FIRST OPERATION, _________:
CERTIFICATION
REPUBLIC OF THE PHILIPPINES
I hereby certify that all information in this report is
true and correct to the best of my knowledge and belief.
_________________________________
SIGNATURE OF PERMITTEE
_________________________________
DATE
___________________________)
___________________________) S.S.
___________________________)
SUBSCRIBED AND SWORN to before me this _____ day of _______, 19 ___
affiant exhibit his/her Residence Certificate No. ______________
issued at __________________ on ______________ day of _________
Doc. No. ____________________
Page No. ____________________
Book No. ____________________
Series of ____________________
___________________________
NOTARY PUBLIC
My Commission Expires
December 31, 19_____
