Date

ITINERARY OF TRAVEL
Name: Katrina D. Calacat Position: SK Chairperson

Official Station: HANOPOL NORTE, BALILIHAN, BOHOL Residence: HANOPOL NORTE, BALILIHAN, BOHOL
Purpose of Travel: See Travel order Attached.
Date Places to be visited T I M E Means of Travelling
Destination Transportation Allowance

January 12, 2019 Bohol Cultural Center, 8:00 AM 4:00 PM Bus 80.00
Tagbilaran City, Bohol ( Back and Forth)
Incidental
expense 120.00
January 13, 2019 DILG- MLGOO 1:00 PM 4:00 PM Bus 30.00
Balilihan, Bohol ( Back and Forth)
Incidental
expense 70.00
January 29, 2019 DILG- MLGOO 1:00 PM 4:00 PM Bus 30.00
Balilihan, Bohol ( Back and Forth)
Incidental
expense 70.00
February 8, 2019 DILG- MLGOO 1:00 PM 4:00 PM Bus 30.00
Balilihan, Bohol ( Back and Forth)
Incidental
expense 70.00
February 13, 2019 Assemblyman Eladio I. Chatto 4:00 PM 11:30 PM Bus 30.00
Sports and Cultural Center ( Back and Forth)
Balilihan, Bohol Incidental
expense 70.00

March 23, 2019 Dauis Gymnasium, 8:00 AM 4:00 PM Bus 80.00

Dauis, Bohol ( Back and Forth)
Incidental
expense 120.00

TOTAL 800.00
I certify that (1) I have reviewed the foregoing
Itinerary, (2) the travel is necessary to the services,
(3) the period covered is reasonable and (4) the
expenses claimed are proper. KATRINA D. CALACAT
Approved by:

TEODOSIO A. MANCHA TEODOSIO A. MANCHA

Supervisor Barangay Captain
This form shall be attached to all claims for travelling expenses
 HANOPOL NORTE, BALILIHAN, BOHOL
Agency

CERTIFICATE OF TRAVEL COMPLETED

Office of the Brgy. Captain

(Station)
Agency Head

____Barangay Captain . -____________________

(Designation) . ( ( Date)

I CERTIFY THAT I have completed the travel authorized in itinerary of

Travel No. dated , under conditions indicated below:

Strictly in accordance with the approved itinerary.

Cut short as explained below; Excess payment in the amount of

P was refunded under O.R. No. dated

Extended as explained below, additional itinerary was submitted.

Other deviations as explained below.

Explanations or justifications:

Evidences of travel:

Used tickets
X Certificate of appearance
X Others: Travel Order
X Appendix A& B

Respectfully yours,

KATRINA D. CALACAT
Employee

TEODOSIO A. MANCHA
Supervisor