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Second National Reconcilation Study EITI Peru - unofficial…

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Consultancy for the <strong>Second</strong> <strong>National</strong> Reconciliation <strong>Study</strong> of the Extractive Industries Transparency Initiative (<strong>EITI</strong>)<br />

in <strong>Peru</strong> (2008 – 2010) (Continuation)<br />

Annexe V Hydrocarbon Royalty<br />

Company: _____________________________________________________<br />

Company Ref. Item / Period Lot<br />

(A)<br />

Amount<br />

collected<br />

(USD)<br />

(B) Collection date<br />

Company Ref. Item / Period Lot<br />

(A)<br />

Amount<br />

collected<br />

(USD)<br />

(B) Collection date<br />

Instructions to complete the form<br />

1st half<br />

Jan<br />

1st half<br />

Jul<br />

2nd<br />

half<br />

Jan<br />

2nd<br />

half Jul<br />

Consultancy for the <strong>EITI</strong> <strong>Peru</strong> Multi-Sector Permanent Working Committee<br />

1st half<br />

Feb<br />

1st half<br />

Aug<br />

2nd<br />

half<br />

Feb<br />

2nd<br />

half<br />

Aug<br />

(A) Refers to the bi-monthly paid by the company for royalties originating in such period.<br />

(B) Pertains to the date on which payment of the royalty for the indicated period was made.<br />

Statement of responsibility of the Management<br />

1st half<br />

Mar<br />

1st half<br />

Sep<br />

2nd<br />

half<br />

Mar<br />

2nd<br />

half<br />

Sep<br />

Year 2010<br />

Year 2010<br />

1st half<br />

Apr<br />

1st half<br />

Oct<br />

2nd<br />

half<br />

Apr<br />

2nd<br />

half Oct<br />

1st half<br />

May<br />

1st half<br />

Nov<br />

We hereby acknowledge on behalf of ......................................................................................................................................................................................... our<br />

responsibility for the information contained in this template.<br />

2nd<br />

half<br />

May<br />

2nd<br />

half<br />

Nov<br />

1st half<br />

Jun<br />

1st half<br />

Dec<br />

186<br />

2nd<br />

half<br />

Jun<br />

2nd<br />

half<br />

Dec

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