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. 05-16-002-2022 dated May 16, 2022

Travel No. 05-18-001-2022 dated May 18, 2022
Travel No. 05-23-004-2022 dated May 23, 2022
Travel No. 05-25-002-2022 dated May 25, 2022
Travel No. 05-30-004-2022 dated May 30, 2022
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
Travel No. dated
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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