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ANNEX "A-2"

REPUBLIKA NG PILIPINAS
KAGAWARAN NG PANANALAPI
KAWANIHAN NG RENTAS INTERNAS

OFFICIAL REGISTER BOOK

Fuel Bioethanol Account


(Credit)
For the Month of __________, 200__

Manufacturer
Production Site
Address
TIN
Assessment No.

:____________________
:____________________
:____________________
:____________________
:____________________
Volume Issued/Removed

Date Issued/
Removed

Official
Delivery
Invoice
(ODI) No.

Own Poduction of
E-gasoline

Transfer to other Facility/Depot


Address

Assessment
No.

Volume

Sale to Other Oil-Company Participant


Name

Address

Assessment No.

TOTAL

I certify that all entries on this page contain true and complete details of all transactions for the period of _____________________, 2006
pursuant to existing Revenue Rules and Regulations.
PREPARED BY:

ATTESTED BY:

_________________________

_________________________

Authorized Representative

Revenue Officer on Premise

Oil Industry-Participant

Ending Balance
Volume

Remarks