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Driver Trip Ticket

The document is a Driver's Trip Ticket for the Metro Roxas Water District in the Philippines, used for recording official travel details. It includes sections for both the Administrative Official and the Driver to fill out, capturing information such as the driver's name, vehicle details, travel times, distance, and fuel consumption. The ticket requires certification from both the driver and the authorized passenger to confirm the accuracy of the travel record.

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Shann Tayco
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223 views1 page

Driver Trip Ticket

The document is a Driver's Trip Ticket for the Metro Roxas Water District in the Philippines, used for recording official travel details. It includes sections for both the Administrative Official and the Driver to fill out, capturing information such as the driver's name, vehicle details, travel times, distance, and fuel consumption. The ticket requires certification from both the driver and the authorized passenger to confirm the accuracy of the travel record.

Uploaded by

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

METRO ROXAS WATER DISTRICT

Trip Ticket No.:

COMMERCIAL SERVICES DEPARTMENT - BILLING AND ACCOUNT DIVISION


Division/Department

DRIVER’S TRIP TICKET

Date
A. To be filled up by the Administrative Official Authorizing Official Travel:
1. Name of Driver of the Vehicle:
2. Government car to be used, Plate No.;
3. Name of Authorized Passenger:
4. Place or place to be visited/Inspected:
5. Purpose:

General Manager or his duly authorize representative


B. To be filled up by the Driver:
1. Time of departure from Office/Garage: a.m./p.m.
2. Time of arrival at (per no. 4 above): a.m./p.m.
3. Time of Departure from (per no. 4 above): a.m./p.m.
4. Time of arrival back to Office/Garage: a.m./p.m.
5. Approximate distance traveled (to and from) a.m./p.m.
6. Gasoline used, purchase and consumed:
a. Balance in tank liters
b. Issued by office from stock liters
c. Add-purchased during trip liters
TOTAL
d. Deduct: Used during the trip (to and from) liters
e. Balance in tank at the end of trip liters

7. Gear oil Issued: liters


8. Lubricant Oil issued: liters
9. Grease Issued: liters
10. Speedometer reading, if any:
At beginning of Trip kms.
At end of trip kms.
Distance traveled (per 5 aboved) kms.

11. Remarks:

I hereby certify to the correctness of the above statement or record of travel;

Driver

I hereby certify that the vehicle on official business as stated above

Name of Passenger

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