Accountable Record

NTA accountable record/columnar book for local trading

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Serial No.________________
Republic of the Philippines
Department of Agriculture
NATIONAL TOBACCO ADMINISTRATION

______________________

PERMIT TO TRANSPORT
( Local )
TO WHOM IT MAY CONCERN:
This is to allow the shipment of the following described tobacco commodity, to
__________________________________________________________________________
(Name of Consignee/Buyer)

____________________________________
(Place of Destination)

Name(s) of Shipper(s)/
Farmer(s)/ Field
Representative(s)

on ______________________, to wit:
(Date of Shipment)

Source(s) of
Tobacco
(Brgy/Mun/
Prov)

Tobacco
Type

Unit
(Bales/
Sticks/
carton)

Net
Weight
(kg)

Date of
Purchase/
selling

This is to further certify that the above described commodity/ies is/are found to be
compliant pursuant to Rule 14, Regulation IV of the NTA Trading Rules and Regulations,
attaching therewith the Certificate of Inspection (COI) No. ___________________________.

Issued this _____day of ______________ at _________________________________.

___________________________
Signature Over Printed Name of
Branch Manager/
Authorized TPRO