RÉGIME FISCAL FORESTIER ET DÉPENSES DE L’ÉTAT EN FAVEUR DU SECTEUR FORESTIER AU LIBÉRIA

REPUBLIC OF LIBERIA
FORESTRY DEVELOPMENT AUTHORITY
P. O. BOX 3010 MONROVIA

DATE: __________

TO:	Mr___________________________		Title _______________________________

FROM:	Mr___________________________		Title ____________________________

CONCESSION: ________________________________________________________

LOCATION: __________________________________________________________

PRODUCTION REPORT FOR THE MONTH OF ________ 19 ________
Gross Volume: _______________________ m³
Defects ……………………………… (if any)
Consumption ……………………m³ by company (if any)
(FREE USE)
Net Volume ____________________________m³ by company (if any)
Tally Sheet: from page ___________ to ____________ attached

BREAKDOWN:

Designated Export _________________ m³				AT = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________
“ __________________ “				“ = $ ________________________

Severance Fee Vol. __________ “				“ = $ _______________________

Grand Total ____________________ m ³				= $ _______________________


Prepared by __________________		Title ____________________			Date ___________

Check by ____________________		Title ____________________			Date ___________

Approved by _________________		Title ________________			Date ___________


NB: This form should always accompany the monthly Tally Sheet to the Monrovia Office

ANNEXE 3 FICHE RÉCAPITULATIVE MENSUELLE DÉTAILLÉE DE LA PRODUCTION