LMB Form No. GSD-E-4
TRANSMITTAL OF SURVEY RETURNS
SUBJECT:
Kind of Survey:SUBDIVISION SURVEYOffice Address :____________________
Location of Land:BARANGAY SAN ISIDRODate :AUGUST 12, 2026
Claimant:JUAN DELA CRUZ
Address:SAN ISIDRO, LUZON
The Regional Technical Director for Lands
Region V, DENR, Lands Management Services
Legazpi City
Region V, DENR, Lands Management Services
Legazpi City
Sir:
I am forwarding herewith for verification and approval, the returns of the above survey executed by me consisting of:
1 Transmittal1 Boundary Computation
1 Field Notes1 Geodetic Engineer's Certificate
1 Original Plan1 Lot Descriptions
1 Lot Data Computation1 Survey Authority / Order
Enclose ____________ pesos ( ₱ ____________ ) in money order / check to cover verification expenses.
Very truly yours,
GEODETIC ENGINEER
License No. PRC-00000
GEODETIC ENGINEER
License No. PRC-00000
ACKNOWLEDGEMENT SLIP
(FOR LANDS MANAGEMENT SERVICES ONLY)Received the above survey returns for verification and approval.SURVEY NO. : PSD-01