EMPLOYEE NO. : ______________________ : EMPLOYEE NO.

: ______________________
EMPLOYEE NAME : JOEL T. LIPATA : EMPLOYEE NAME : JOEL T. LIPATA

DAILY TRANSPORTATION EXPENSE SUMMARY : DAILY TRANSPORTATION EXPENSE SUMMARY

DATE : DATE
ASSURED'S NAME : ASSURED'S NAME
ASSIGNMENT N0. : ASSIGNMENT N0.
UNIT/PLATE NO. : UNIT/PLATE NO.
:
AMOUNT LOCATION : AMOUNT
Jeepney/ Bus/ : Jeepney/ Bus/
Tricycle Fare Tricycle Fare
:
:
:
:
:
:
TOTAL : TOTAL

Gasoline Gasoline
Toll Fee/s Toll Fee/s

TOTAL TOTAL
Meal OR DETAILS : Meal
:
:
:
TOTAL : TOTAL
:
Room Accomodation OR DETAILS Room Accomodation
:
:
TOTAL : TOTAL
:
 :
GRAND TOTAL : GRAND TOTAL
:
:
:
SIGNATURE : SIGNATURE
N EXPENSE SUMMARY

LOCATION

OR DETAILS

OR DETAILS
GRAND TOTAL
EMPLOYEE NO. : ______________________ : EMPLOYEE NO. : ______________________
EMPLOYEE NAME : JOSEPH P. DUJALE : EMPLOYEE NAME : JOSEPH P. DUJALE

DAILY TRANSPORTATION EXPENSE SUMMARY : DAILY TRANSPORTATION EXPENSE SUMMARY

DATE 23 November 2018 : DATE 23 November 2018

ASSURED'S NAME Jeffrey Pinkihan : ASSURED'S NAME Ivy Lyn V. Nieto
ASSIGNMENT N0. MC-MAA-HO-2018-125 : ASSIGNMENT N0. MC-MIC-HO-2018-168
UNIT/PLATE NO. 2018 Toyota Hi-Lux/ YS 0467 : UNIT/PLATE NO. 2017 Ford Everest/C0 N958
reinspection :
AMOUNT LOCATION : AMOUNT
Jeepney/ Bus/ : Jeepney/ Bus/
Tricycle Fare Tricycle Fare
:
:
:
:
:
:
TOTAL : TOTAL

Gasoline 1,000.00 La Trinidad, Baguio Gasoline 2,000.00

Toll Fee/s 565.00 Toll Fee/s 784.00

1,565.00 TOTAL 2,784.00 TOTAL

Meal OR DETAILS : Meal
:
240.00 Chowking 405.00
OR # 2004222; 23 Nov :
2018
:
240.00 TOTAL : 405.00 TOTAL
:
Room Accomodation OR DETAILS Room Accomodation
:
:
TOTAL : TOTAL
 :
:
1,805.00 GRAND TOTAL : 3,189.00 GRAND TOTAL
:
:
:
SIGNATURE : SIGNATURE

4,994.00
N EXPENSE SUMMARY

st/C0 N958

LOCATION

Ford Dagupan 3645

1349
4994

OR DETAILS
Chowking;Makkan
Ilocano Restaurant breakfast is at Chowking = 240

OR #1707; 23 Nov 2018 lunch/dinner : Makkan= 405

OR DETAILS
GRAND TOTAL
EMPLOYEE NO. : ______________________ : EMPLOYEE NO. : ______________________
EMPLOYEE NAME : JOSEPH P. DUJALE : EMPLOYEE NAME : JOSEPH P. DUJALE
DAILY TRANSPORTATION EXPENSE SUMMARY : DAILY TRANSPORTATION EXPENSE SUMMARY

DATE : DATE
ASSURED'S NAME : ASSURED'S NAME
ASSIGNMENT N0. : ASSIGNMENT N0.
UNIT/PLATE NO. : UNIT/PLATE NO.
:
AMOUNT LOCATION : AMOUNT
Jeepney/ Bus/ : Jeepney/ Bus/
Tricycle Fare Tricycle Fare
:
:
:
:
:
:
TOTAL : TOTAL

Gasoline Gasoline
Toll Fee/s Toll Fee/s

0.00 TOTAL 0.00 TOTAL

Meal OR DETAILS : Meal
:
:
:
TOTAL : 0.00 TOTAL
:
Room Accomodation OR DETAILS Room Accomodation
:
:
TOTAL : TOTAL
:
:
0.00 GRAND TOTAL : 0.00 GRAND TOTAL
 :
:
:
SIGNATURE : SIGNATURE

0.00
N EXPENSE SUMMARY

LOCATION

OR DETAILS

OR DETAILS

GRAND TOTAL
EMPLOYEE NO. : ______________________ : EMPLOYEE NO. : ______________________
EMPLOYEE NAME : MARIA GRACIELA C. SAN JUAN : EMPLOYEE NAME : MARIA GRACIELA C. SAN JUAN
DAILY TRANSPORTATION EXPENSE SUMMARY : DAILY TRANSPORTATION EXPENSE SUMMARY

DATE : DATE
ASSURED'S NAME : ASSURED'S NAME
ASSIGNMENT N0. : ASSIGNMENT N0.
UNIT/PLATE NO. : UNIT/PLATE NO.
:
AMOUNT LOCATION : AMOUNT
Jeepney/ Bus/ : Jeepney/ Bus/
Tricycle Fare Tricycle Fare
:
:
:
:
:
:
TOTAL : TOTAL

Gasoline Gasoline
Toll Fee/s Toll Fee/s

0.00 TOTAL 0.00 TOTAL

Meal OR DETAILS : Meal
:
:
:
TOTAL : 0.00 TOTAL
:
Room Accomodation OR DETAILS Room Accomodation
:
:
TOTAL : TOTAL
:
:
0.00 GRAND TOTAL : 0.00 GRAND TOTAL
 :
:
:
SIGNATURE : SIGNATURE

0.00
LA C. SAN JUAN
N EXPENSE SUMMARY

LOCATION

OR DETAILS

OR DETAILS

GRAND TOTAL
EMPLOYEE NO. : ______________________ : EMPLOYEE NO. : ______________________
EMPLOYEE NAME : DIGNA O. MAGNO : EMPLOYEE NAME : DIGNA O. MAGNO
DAILY TRANSPORTATION EXPENSE SUMMARY : DAILY TRANSPORTATION EXPENSE SUMMARY

DATE : DATE
ASSURED'S NAME : ASSURED'S NAME
ASSIGNMENT N0. : ASSIGNMENT N0.
UNIT/PLATE NO. : UNIT/PLATE NO.
:
AMOUNT LOCATION : AMOUNT
Jeepney/ Bus/ : Jeepney/ Bus/
Tricycle Fare Tricycle Fare
:
:
:
:
:
:
TOTAL : TOTAL

Gasoline Gasoline
Toll Fee/s Toll Fee/s

0.00 TOTAL 0.00 TOTAL

Meal OR DETAILS : Meal
:
:
:
TOTAL : 0.00 TOTAL
:
Room Accomodation OR DETAILS Room Accomodation
:
:
TOTAL : TOTAL
:
:
0.00 GRAND TOTAL : 0.00 GRAND TOTAL
 :
:
:
SIGNATURE : SIGNATURE

0.00
N EXPENSE SUMMARY

LOCATION

OR DETAILS

OR DETAILS

GRAND TOTAL