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  • LMB Form No. GSD-A-2 Outer

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    Arnold Tamayo Moran
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    531 views1 page

    LMB Form No. GSD-A-2 Outer

    Uploaded by

    Arnold Tamayo Moran

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    LMB Form No.

    GSD-A-2

    FIELD NOTES COVER


    These field notes were observed in the field by me
    or under my supervision on the days and dates as stated. Class of Survey _____________ L.M.B. No. ______________
    Section _______ Act ___________ LRC Records No. _______
    This survey was executed with a ______________ Surveyed for ________________________________________
    made by ______ Serial No. ______L.M.B. Cert. No._____ Address ___________________________________________
    dated _______, and with tape Serial No.______________ Agent _____________________________________________
    L.M.B Certificate No. _________,dated_______ or E.D.M. Address____________________________________________
    dated________(Signed in Ink)_________________
    Situated in the:
    Title ________ Geodetic Engineer Rurban Code__________________________________
    Dry G.E. Certificate No. ___________ Barangay of __________________________________
    Seal
    Lic. No. ________ Dated _______ Mun/City of ___________________________________
    Island of _____________________________________

    Subscribed and sworn to before me this ___________ day Bearings___________________________________________


    of ___________________, 20_______, affiant exhibiting to Magnetic Declination _________________________________
    me his/her Residence Certificate No. A-_______________ Surveyed __________________________________________
    by ________________________________________________
    issued at _______________ on _____________________ __________________________________ Geodetic Engineer
    Address ___________________________________________

    Under the supervision of _______________________________


    Documentary (To be filled in when survey has been
    Stamp executed by a Junior Surveyor)

    ________________________________
    ___________________________________ Geodetic Engineer
    NOTARY PUBLIC
    Principal Use of the Land ______________________________
    Doc. No.__________ Topographic Condition of Land __________________________
    Book No._________ Notes checked by_____________________ Date ___________
    Page No._________
    Series of 20_______

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