CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DARPO Tarlac Fund Cluster 101

ATTY. FERDINAND T. SALLY DARPO Tarlac

Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the following Travel/Special
Orders:

Travel No. 04-12-002-2022 dated April 12, 2022

Travel No. 04-13-001-2022 dated April 13, 2022
Travel No. 04-18-003-2022 dated April 18, 2022
Travel No. 04-25-002-2022 dated April 25, 2022
Travel No. 04-29-004-2022 dated April 29 2022
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated

Under conditions indicated below:

(X) Strictly in accordance with the approved itinerary.

( ) Cut short as explained below, Excess payment in the amount of ₱_______________
Was refund under O.R No._____________ dated _____________,
( ) Extended as explained below, additional itinerary was submitted.
( ) Other deviation as explained below.

Explanation or justifications:
______________________________________________________________________________
Evidence of travel:
______________________________________________________________________________

Respectfully Submitted:

KRIS JERSON A. CARPIO

Name of Employee

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

Approved:

JOCELYN O. RAMONES, CESO VI

PARPO II