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Office of Municipal Vice Mayor

1. A trip ticket from the Municipality of Esperanza in the Philippines documents a trip taken on January 12, 2019 by driver Ryan Garcia transporting passenger Emeilou Siohan to Tagum City for the purpose of transporting a patient. 2. The trip was approved by Vice Mayor Eric Rey G. Siohan and involved using the government vehicle with plate number Strada Black. 3. The driver certifies that the vehicle was used strictly for official business according to the records of travel, including departing the office at 7:00 AM, arriving back at 5:00 PM, and traveling approximately 125 km while using 50 liters of gasoline purchased during the trip.

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Elvin Tinio
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60 views2 pages

Office of Municipal Vice Mayor

1. A trip ticket from the Municipality of Esperanza in the Philippines documents a trip taken on January 12, 2019 by driver Ryan Garcia transporting passenger Emeilou Siohan to Tagum City for the purpose of transporting a patient. 2. The trip was approved by Vice Mayor Eric Rey G. Siohan and involved using the government vehicle with plate number Strada Black. 3. The driver certifies that the vehicle was used strictly for official business according to the records of travel, including departing the office at 7:00 AM, arriving back at 5:00 PM, and traveling approximately 125 km while using 50 liters of gasoline purchased during the trip.

Uploaded by

Elvin Tinio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Republic of the Philippines

OFFICE OF MUNICIPAL VICE MAYOR


Municipality of Esperanza
Province of Agusan del Sur

DRIVER'S TRIP TICKET

1/12/2019
Date
To be filled by the Administrative Official authorizing official travel :

1. Name of Driver of the Vehicle : Ryan Garcia


2. Government car used Plate No. : Strada Black
3. Name of authorized passenger : Emeilou Siohan
4. Place or places to be visited : Tagum, City
5. Purpose of travel : Transport Patient

APPROVED :

ERIC REY G. SIOHAN


Vice Mayor
To be filled by the Driver :
1. Time of Departure from office/g : 7:00 AM A.M./P.M.
3. Time of departure (Per No. 4 ab : 11:00 AM A.M./P.M.
4. Time of arrival back to the offi : 5:00 AM A.M./P.M.
5. Approximate distance travelled : 10:25 AM Kms.
6. Gasoline issued, purchased & :
a. Balance in tank 20 Liters
b. Issued by office from stock Liters
c. Add-purchased during trip 50 Liters
d. Deduct-used during trip (from & to) 55 Liters
e. Balance in tank at the end of the trip 15 Liters

7. Gear Oil issued : 0 Quarts


8. Lubricating Oil issued : 0 Quarts
9. Grease Oil issued : 0 Quarts
10. REMARKS :

I HEREBY certify to the above-stated records of travel and the vehicle was used on strictly offi
business only.

Date Driver

I HEREBY certify that I used this vehicle on official business as stated in the records of travel.

Date Passenger/s
sed on strictly official

ecords of travel.

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