Appendix 47

REPUBLIKA NG PILIPINAS
KAGAWARAN NG KATARUNGAN
PANGASIWAAN SA PATALAAN NG LUPAIN
(LAND REGISTRATION AUTHORITY)
East Avenue cor. NIA Road
Quezon City

CERTIFICATE OF TRAVEL COMPLETED

Fund Cluster: __________________

____________________ ____________________
Immediate Supervisor Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in Itinerary of Travel dated
________________ to ________________under conditions indicated below:

( ) Strictly in accordance with the approved itinerary.

( ) Cut short as explained below. Excess payment in the amount of _______________ was refunded on
O.R. No. _______________ dated ______________________.
( ) Extended as explained below. Additional Itinerary was submitted.
( ) Other deviation as explained below.
Explanations or Justifications: To deposit daily collections of the Registry of Deeds Bukidnon to its
depository bank the Land Bank of the Philippines Malaybalay Highway Branch.

Evidence of travel attached hereto:

( ) Itinerary of Travel
( ) Reimbursement Expense Receipt (RER)
( ) Validated Deposit Slips
( ) Assignment Order/Travel Order
( ) Plane Ticket
( ) Bus Ticket
Respectfully Submitted:

____________________
Name of Employee
On evidence and information on which I have knowledge, the travel was actually undertaken.

Approved:

____________________
Name of Director
Office

AS-GSD.FRM.2016.002
Revision 0/02-22.2016