These field notes were observed in the field by me or under LMB Form No.
GSD-A-2
my supervision on the days and dates as stated. FIELD NOTES COVER
Class of Survey Subdivision
L.M.B No.
This survey was executed with a TOTAL STATION made by RUIDE Section Act LRC Records No.
Serial No. 323365 L.M.B. Cert. No. 2024-0533-A dated _________, and Surveyed for VIRGINIA S. BAUTISTA
with tape, Serial No. _________ L.M.B. Cert. No. _________ or E.D.M. Address
Model _________, SN _________, L.M.B. Cert. No. _________ date Agent
_________ (Signed in Ink) __________________. Address
Situated in the:
Urban Code 02 57 03
Barangay of BANNAWAG
Mun/ City of DIFFUN
Title PRIVATE Geodetic Engineer Province of QUIRINO
G.E. License No. 10681 Dated 11/13/19 Island of Luzon
Dry
PTR No. 5835736 Dated 01/03/25
Seal
Bearings True
Subscribed and sworn to before me this _________ day of Magnetic Declination
__________________, 20 _________ affiant exhibiting to me his/her Surveyed September 06, 2025
Residence Certificate No. A- 28820630 issued at __________________ By EMILIO M. GALANG
on 01/03/25 Geodetic Engineer
Address
Under the supervision of ___________________________________
(To be filled in when survey has been
Executed by a Junior Surveyor)
Documentary
Stamp
Geodetic Engineer
Principal Use of the Land Residential
Topographical Condition of Land Plain
NOTARY PUBLIC
Doc No. Until December 31, 20 ____ Notes Checked by Date
Book No.
Page No.
Series of 20
REMARKS OR ADDITIONAL INFORMATION IN GEODETIC ENGINEERS
REGARDS TO THIS SURVEY CERTIFICATE
CERTIFICATION I, EMILIO M. GALANG do hereby certify that the foregoing are the
complete original field notes and indicate true and actual measurements
I hereby certify that all bearings and distances of the boundary lines made in the survey of the property of VIRGINIA S. BAUTISTA situated in
the Municipality of DIFFUN Province of QUIRINO from
of the land herein subdivided as well as the aggregate area of the lot of
________________ 20 _______ to September 06, 2025
this subdivision plan are identical to those described in T.C.T. No. T-
16021 as submitted.
I FURTHER CERTIFY that this survey has been executed in
conformity with the laws of the Philippines, the official regulations
and instructions thereunder and the instructions of the DENR, and
that the foregoing field notes and accompanying plot accurately
indicate the boundaries of the property as pointed out by the
applicant or _____________________, his authorized agent and
by all contesting claimants and occupants as their appearance an
objections or conformity, is contained in the duly signed Engineer’s
Certificate submitted with the survey.
EMILIO M. GALANG
GEODETIC ENGINEER
Printed by
SOLOMON CONSTRUCTION AND SURVEYING
Capirpiriwan, Cordon, Isabela (CAGAYAN VALLEY)
Authorized by The Lands Management Bureau
April 25, 2025