Republic of the Philippines

City of Olongapo
BARANGAY MABAYUAN

DRIVER'S TRIP TICKET

Date:

A. TO BE FILLED BY THE CHIEF OF OFFICE AUTHORIZING OFFICIAL TRAVEL

1. Name of driver of vehicle

2. Government car / truck / equipment used
3. Name of authorized passenger
4. Place to be visited, inspected
5. Purpose

Approved by:

HON. EDWIN M. ESPOSO

Punong Barangay

B. TO BE FILLED UP BY THE DRIVER

1. Time of departure from office

2. Time of arrival of office garage
3. Gasoline / Diesel purchased

a. Balance in Tank
b. Issued by office from stock
c. Total
d. Deduct consumed during the trip
e. Balance in tank at the end of the trip

I here by certify to the correctness of the above statement of record of travel.

DRIVER
 COA File
BARANGAY MABAYUAN BARANGAY MABAYUAN
CITY OF OLONGAPO CITY OF OLONGAPO
DAILY TIME RECORD DAILY TIME RECORD

NAME: NAME:
Position: Position:
Period Covered : Period Covered :

AM PM AM PM
DAY SIGNATURE DAY SIGNATURE
IN OUT IN OUT IN OUT IN OUT
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I CERTIFY on my HONOR that the above is true and correct I CERTIFY on my HONOR that the above is true and correct
report of the hours of work performed, record of which was report of the hours of work performed, record of which was
made daily at the time of arrival and departure from the made daily at the time of arrival and departure from the
office. office.
 report of the hours of work performed, record of which was report of the hours of work performed, record of which was
made daily at the time of arrival and departure from the made daily at the time of arrival and departure from the
office. office.

Certified Correct: Certified Correct:

Department Head Department Head

Approved by: Approved by:

Punong Barangay Punong Barangay

 Office File
YUAN
PO
ORD

SIGNATURE

ove is true and correct

, record of which was
eparture from the
, record of which was
eparture from the

partment Head

nong Barangay
 REPUBLIC OF THE PHILIPPINES
BARANGAY MABAYUAN
OLONGAPO CITY

DATE: 9-22-2018
ATTENDANCE
COMELECT SATELITE REGISTRATION

NAME OFFICE SIGNATURE

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