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Itinerary of Travel

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Republic of the Philippines

Province of Cebu
Municipality of Bantayan

APPENDIX - A

BARANGAY SUBA
AGENCY
No. __________________
Date __________________

ITINERARY OF TRAVEL

NAME: _______________________________________________

POSITION: ____________________________________________ MONTHLY SALARY: ______________________

PURPOSE (S) OF TRAVEL:_____________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

ALLOWANCE EXPENSES
PLACES TIME MEANS OF
TOTAL
DATE TO BE TRANS- TOTAL
PER DAILY
VISITED DEPARTURE ARRIVAL PORTATION TRANS
DIEMS ALLOW

I hereby certify that : : (1) Prepared by:


(1) I have reviewed the foregoing itinerary :
(2) the travel is necessary to the service :
(3) the period covered is reasonable : _________________________________
(4) the expense claimed are proper : Name of Official or Employee
:
:
: (2) APPROVED
:
_____________________________________ :
Supervisor : _________________________________
Supervisor
APPENDIX B

______BARANGAY SUBA_______
Agency

CERTIFICATE OF TRAVEL COMPLETED

CLIFFORD A. MAY.. SUBA, BANTAYAN, CEBU


Agency Head Station

BARANGAY CAPTAIN. _________________________


Date

I certify that I have completed the authorized Itinerary of Travel No. ______________ dated
________________________ under the conditions indicated below:

[ ] Strictly in accordance with the itinerary.

[ ] Cut short as explained below. Excess payment in the amount of P_________________


was refunded under Official Receipt No. _______________ dated _________________.

[ ] Extended as explained below. Additional itinerary was submitted.

[ ] Other deviations as explained below.

Explanations or Justifications:

_______________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
____________________________________________________________________.

As evidenced of travel attached hereto are:

_______________________________________________________________________________________________________
________________________________________________________________________________________________________________
___________________________________________________________________________________________.

I hereby certify that payment are made after each subsistence was taken.

Respectfully Submitted:

_______________________
Officer or Employee

On evidence and information of which I have knowledge the travel was actually undertaken.

________________________
( Supervisor )

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