DISPATCH TRANSPORTATION REIMBURSMENT FORM

FIELD ENGINEER'S NAME ALCARAZ KIM G. FIELD ASSINGED: BULACAN/VALENZUELA

DATE SERVICE CALL# / EAR# PROV CLIENT NAME MERCHANT NAME COMPLETE ADDRESS PUJ/TRI/PUB/FX/LRT/OTHERS AMOUNT

9/21/2020 S200783495B 397424 X BPI GUANZON- SM SJDM SM SAN JOSE DEL MONTE BULACAN 10PUJ/30PUJ/30PUJ 70
BACK TO CITY 30PUJ/30PUJ 60

9/22/2020 S200998515D 397425 X BPI ROB EASYMART - POBLACION 888 SAN IGNACIO ST BRGY POBLACION I SJDM BULACAN 10PUJ/30PUJ/30PUJ/70TRIC 140
9/22/2020 S200998373C 397426 X BPI DERMCARE - SM VALENZUELA KARUHATAN VALENZUELA CITY 70TRIC/30PUJ/30PUJ/35PUB 165

60TRIC/50PUJ(NLEX)/30PUJ/50T
9/23/2020 S200997907B 397427 X BPI 472 - PLARIDEL NATIONAL HIGHWAY COR J GARCIA PLARIDEL BULACAN 190
RIC
BACK TO CITY 50TRIC/30PUJ/50PUJ(NLEX) 130

9/24/2020 S200997181B 397428 X BPI BETTER LIVING TILE - MALOLOS LONGOS MALOLOS BULACAN 60TRIC/50PUJ(NLEX)/20PUJ 130
9/24/2020 S200980935D 397429 X CHEVRON RMCF GASOLINE STATION BULIHAN CITY OF MALOLOS BULACAN 20PUJ/100TRIC 120
BACK TO CITY 100TRIC/50PUJ(NLEX) 150

60TRIC/50PUJ(NLEX)/30PUJ/50T
9/25/2020 S200999028E 397432 X BPI 472 - PLARIDEL NATIONAL HIGHWAY COR J GARCIA PLARIDEL BULACAN 190
RIC
50TRI/30PUJ/50PUJ(NLEX)/100T
9/25/2020 S200998834D 397431 X BPI 640- MEYCAUAYAN SAMPALUCAN ST CALVARIO MEYCAUAYAN BULACAN 230
RIC

9/26/2020 S200980635F 397433 X CHEVRON JAJ FUEL STATION MALOLOS BULACAN 60TRIC/50PUJ(NLEX) 110
9/26/2020 S200980539C 397434 X CHEVRON STARWHEELS CALTEX 0154LN5573 BALAGTAS BULACAN 40PUJ 40
9/26/2020 S200980469D 397435 X CHEVRON REVSTAR TRADING LOLOMBOY BOCAUE BULACAN 25PUJ 25

BACK TO CITY 35PUJ 35

Grand Total
BDO Transpo Total 1,785
CHEVRON Additional for Provincial 40
ESWIPE Prepaid Load 50 1875
MEDILINK Accomodation
ALLIED Meal allowance
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