Republic of the Philippines

Department of Environment and Natural Resources

COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE XII-4B,
Matalam, Cotabato

Date: March 25, 2019

DRIVER’S TRIP TICKET

A. To be filed by the Administrative Official:

Authorizing Official Travel:
1. Name of Driver of the Vehicle: MOHAMMAD CAUNTONGAN_________
2. Government car to used, Plate No. ADP 2612__________________________
3. Name of authorized passenger (s) _ CENRO Personnel________________________
4. Place(s) to visited/inspected: Sitio Saliling, Brgy. Amabel, Magpet, Cotabato
5. Purpose: To conduct inspection/verification on the reported cutting of trees.
6. Passengers CENRO personnel______________________________________________

LARRY P. CURIAS
OIC, CENR Officer
B. To be filled by the Driver:
1. Time of Departure from the Office/garage ______________________
2. Time of arrival at (par No. 4 above) ___________________________
3. Time of Departure __________________________________
4. Time of Arrival back to Office _______________________________________
5. Gasoline issued, purchased and consumed _________________________________
a. Balance in tank _____________________________________________
b. Issued by the Office from stock _________________________________
c. Add purchased during trip _________________________________
TOTAL _________________________________
D. Deduct, used during the trip to and from ___________________________
e. Balance in tank at the end of the trip __________________________
6. Gear oil used ________________________________
7. Lub. Oil issued ________________________________
8. Grease issued________________________________
9. Speedometer reading, if any ________________________
at beginning of trip ________________________________
At end of trip ________________________________
Distance traveled ________________________________

10. Remarks_________________________________________________________

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

MOHAMMAD CAUNTONGAN
Driver

Hereby certify that I used this car of the above statement business as stated above.

Requested by:

NOBEH L. LLAMAS
Chief, Enforcement
 Republic of the Philippines
Department of Environment and Natural Resources
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE XII-4B,
Matalam, Cotabato

Date: February 3, 2019

DRIVER’S TRIP TICKET

A. To be filed by the Administrative Official:

Authorizing Official Travel:
1. Name of Driver of the Vehicle: JOLITO G. DURAYDO ____________
2. Government car to used, Plate No. Plate No.ADP 2612__________________________
3. Name of authorized passenger (s) _ CENRO personnel________________________
4. Place(s) to visited/inspected: Amas, Cotabato.
5. Purpose: To conduct investigation on illegal cutting.
6. Passengers CENRO personnel______________________________________________

CHARLIE O. ACACIO
Senior EMS/Chief CDS
B. To be filled by the Driver:
1. Time of Departure from the Office/garage ______________________
2. Time of arrival at (par No. 4 above) ___________________________
3. Time of Departure __________________________________
4. Time of Arrival back to Office _______________________________________
5. Gasoline issued, purchased and consumed _________________________________
a. Balance in tank _____________________________________________
b. Issued by the Office from stock _________________________________
c. Add purchased during trip _________________________________
TOTAL _________________________________
D. Deduct, used during the trip to and from ___________________________
e. Balance in tank at the end of the trip __________________________
6. Gear oil used ________________________________
7. Lub. Oil issued ________________________________
8. Grease issued________________________________
9. Speedometer reading, if any ________________________
at beginning of trip ________________________________
At end of trip ________________________________
Distance traveled ________________________________

10. Remarks_________________________________________________________

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

JOLITO G. DURAYDO
Driver

Hereby certify that I used this car of the above statement business as stated above.

Requested by:
FLORENCIO F. ESTRECHO
Forest Ranger