DEPARTMENT OF EDUCATION-ALBAY DIVISION
(Agency)
MARIO B. GONZALES DepED Calbayog Elem. School
Agency Head Station
I CERTIFY THAT I have completed the travel authorized in Itenerary of Travel No. _______dated
under conditions indicated below.
x Strictly in accordance with the approved itenerary.
Cut short as explained below. Excess payment in the amount of P
was refunded under O.R. NO. dated
Extended as explained below. Additional itenerary was submitted.
Other deviations as explained below.
Explainations or justifications:
Certificate of Appearance
October 4,9,11,12 &1 17, 2018
Evidences of Travel:
Used tickets
/ Certificate of Appearance
Others (Travel Order, Feedback Report)
MARILOU B. ARIZAPA
Employee
On evidences and information of which I have acknowledged the travel was actually undertaken.
MARIO B. GONZALES
Immediate Supervisor
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
Legazpi City
ITINERARY OF TRAVEL
NAME: OFFICIAL STATION:
POSITION: SALARY PER MONTH:
PURPOSE OF TRAVEL:
ALLOWANCE EXPENSES
TIME Means of
DATE Place to be visited
Transportation Transportation Per Diem Total Amount
Departure Arrival
TOTAL -
I CERTIFY THAT (1) I REVIEW THE FOREGOING ITINERARY.
(2)THE TRAVEL IS NECESSARY TO THE SERVICE.(3) PREPARED BY:
THE PERIOD COVEREDI REASONABLE. (4) THE EXPENSES
CLAIMED ARE PROVED. Official/Employee
NAME
PUBLIC SCHOOLS DISTRICT SUPERVISOR
APPROVED BY:
NENE ROSAL-MERIOLES, CESO V
SCHOOLS DIVISION SUPERINTENDENT
Republic of the Philippines
Department of Education
Division of Albay
Legazpi City
APPENDIX - B
CERTIFICATE OF TRAVEL COMPLETED
NENE R. MERIOLES, CESO V Division of Albay
(Agency Head) (Station)
(Date)
I CERTIFY THAT I have completed the travel authorized in itinerary of Travel No. __________
dated __________ under condition indicated below.
Stricly in accordance with the approved itinerary.
Cut short as explained below. Excess payment in the amount of P _________ was refunded
on O.R. No.________ dated ________
Extended as explained below. Additional itinerary was submitted.
Other deviations as explained below.
Explanations of justifications:
Evidence of travel hereto attached
Travel Authority for Official Travel
Appearance
Memo
Respectfully submitted,
NAME
Position
On evidence and information of which I have knowledge, the travel was actually undertaken.
NAME
PUBLIC SCHOOLS DISTRICT SUPERVISOR