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Trip Ticket

This document is a trip ticket for government vehicle use in the Municipality of Tangcal, Lanao del Norte, Philippines. It includes sections for the driver's information, trip details, fuel consumption, and signatures for authorization. The form is designed to track the vehicle's usage for official business, including departure and arrival times, fuel balance, and itinerary details.

Uploaded by

Naif H. Faiz
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22 views1 page

Trip Ticket

This document is a trip ticket for government vehicle use in the Municipality of Tangcal, Lanao del Norte, Philippines. It includes sections for the driver's information, trip details, fuel consumption, and signatures for authorization. The form is designed to track the vehicle's usage for official business, including departure and arrival times, fuel balance, and itinerary details.

Uploaded by

Naif H. Faiz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines TRIP TICKET NO.

Province of Lanao del Norte


MUNICIPALITY OF TANGCAL DATE:
Driver's Vehicle Trip Ticket

A. To be filled by the Driver:


1 Name of Driver of the vehicle
2 Gov't car to be used, Plate No. TRF No.
3 Purpose

4 Overtime Activity (Night Shift)


(After 5:00 PM)
Authorized Signature Authorized Signature

Requested By: Recommended By: Approved By:

_____________________________ _____________________________ _____________________________

Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name

A.M. Authorized P.M. Authorized


B. To be filled by the Driver TRIP Signature TRIP Signature
1 Time of departure from Office/Garage
2 Time of arrival back to Office/Garage
3 Gasoline issued, purchased and consumed:
Amount
a. Balance in tank litters
b. Add - purchased during trip litters
TOTAL . . . litters
c. Deduct: Used during the trip (to and from) litters
d. Balance in tank at the end of the trip litters
e. Lubricants / oil litters
4 Speedometer readings, if any:
At beginning of trip kms
At end of trip kms
Distance travelled / DIVISOR km/liters kms
5 Remarks:

I hereby certify to the correctness of the above statement of record of travel.

Driver
I/We hereby certify that I/We used this car on official business as stated above.
Name & Signature of Passengers
Name Date Name Date

Details of Itinerary
AM PM
Destination Time Destination Time
From To From To From To From To

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