Republic of the Philippines
SK OF BARANGAY __________________
Orion, Bataan
Date
DRIVER’S TRIP TICKET
1 Name of the Driver:
2 Name of the Vehicles to be used/Plate No:
3 Name of Authorized Passenger:
4 Place to be Visited:
5 Purpose:
_________________________
Punong Barangay
SK Chairperson
1 Time of Departure from Office Garage: 8:00:00 AM+G21:K32G21:K34HG21:K34
2 Time of Arrival at (per no above):
3 Time of Departure from No.:
4 Time of Arrival Back at the Office:
5 Gasoline issued/purchased:
a. Balance
a. Balance in Tankin tank _____________________
b. Issued by Office
c. Purchased during Trip
d. Total
e. Deduct used during trip
f. Balance
7 Motor Oil Used
8 Gear Oil Used
9 Speedometer
10 Reading at beginning Trip
11 Reading at the end of trip
12 Distance traveled
13 Remark Official Business Trip
Signature of Driver