TA Form-2
LIQUIDATION REPORT No.:
BUREAU OF FIRE PROTECTION Date:
Agency Responsibility Center:
Code:
PARTICULARS AMOUNT
Reimbursement of transportation expenses for the perio of 01 March to
01 April 2016 as per attached summary of Transportation expenses (TA Form-3) . . . . . . . . . . . .Php
... 1,115.00
TOTAL AMOUNT SPENT Php 1,115.00
AMOUNT OF CASH ADVANCE PER _______DTD ________ Php -
AMOUNT REFUNDED PER OR NO. _______DTD ________ Php -
AMOUNT TO BE REIMBURSED Php 1,115.00
A Certified: Correctness of the B Certified: Purpose of travel C Certified: Supporting documents
above data duly accomplished complete and proper
SFO2 Rudito G Alonsagay SFO2 Aldrien T Argamosa SINSP REYNALDO F PANGANIBAN, BFP
Liason Officer Station Finance Municipal Fire Marshal
Pateros Fire Station Pateros Fire Station Pateros Fire Station JEV No.
TA Form-3
Summary of Transportation Expenses
Pateros Fire Station
Station
FDIV-NCR
Provincial/Regional
For the Period 01 March to 01 April 2016
Total Transportation
Nr. Date Purpose of Travel
Expense
1 01-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
2 02-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 Php 115.00
3 04-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
4 07-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
5 09-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
6 11-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
7 14-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
8 16-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
9 18-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
10 21-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
11 23-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
12 28-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
13 30-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
14 01-Apr-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
Total . . . . . . . . . . . . . . . . . . . . . . Php 1,115.00
Prepared by: Verified Correct: Reviewed by:
3
Total Transportation
Nr. Date Purpose of Travel
Expense
Rudito G Alonsagay Aldrien T Argamosa REYNALDO F PANGANIBAN
SFO2 BFP SFO2 BFP SINSP BFP
Liason Officer Station Finance Municipal Fire Marshal
4
Transportation
5
Transportation
O F PANGANIBAN
BFP
6
TA Form-3
Summary of Transportation Expenses
Pateros Fire Station
Station
FDIV-NCR
Provincial/Regional
For the Period 01 March to 01 April 2017
Total Transportation
Nr. Date Purpose of Travel
Expense
1 01-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
2 02-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
3 06-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
4 07-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
5 09-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
6 10-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
7 13-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
8 15-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
9 16-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
10 17-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
11 20-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
12 22-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
13 24-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
14 27-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
15 30-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
Total . . . . . . . . . . . . . . . . . . . . . . Php 900.00
Prepared by: Verified Correct: Reviewed by:
Marco O Arpon Artemio B Bertuldes Jr. REYNALDO F PANGANIBAN
FO2 BFP SFO4 BFP SINSP BFP
NCOIC SAO/Logistics C, Admin / Personnel Municipal Fire Marshal
sportation
ANGANIBAN
BFP
Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF FIRE PROTECTION
Pateros Fire Station, FDIV-NCR
TRAVEL ORDER TRAVEL ORDER NO. ADM-2016-12-001
TRAVELER'S NAME TRAVELER'S DESIGNATION
OFFICE SECTION
PURPOSE/JUSTIFICATION:
ITINERARY:
Date of Travel
I certify that the information given above are true and You are hereby authorized to travel to the distinated
correct. place stated above on the case Appearing on this travel
order. An accomplished Certificate of Appearance is to be
presented upon your return.
_____________________________________ _____________________________________
PRINTED NAME AND SIGNATURE SFO4 Artemio B Bertuldes Jr.
OF REQUESTING PERSONNEL Chief Admin
Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF FIRE PROTECTION
Pateros Fire Station, FDIV-NCR
TRAVEL ORDER TRAVEL ORDER NO. ADM-2016-12-001
TRAVELER'S NAME TRAVELER'S DESIGNATION
OFFICE SECTION
PURPOSE/JUSTIFICATION:
ITINERARY:
Date of Travel
I certify that the information given above are true and You are hereby authorized to travel to the distinated
correct. place stated above on the case Appearing on this travel
order. An accomplished Certificate of Appearance is to be
presented upon your return.
_____________________________________ _____________________________________
PRINTED NAME AND SIGNATURE SFO4 Artemio B Bertuldes Jr.
OF REQUESTING PERSONNEL Chief Admin
