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_____