For District Level Travel Claim

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Appendix 45

ITINERARY OF TRAVEL

Entity Name: Tangbo ES


Fund Cluster: 01- REGULAR No.: 2019- 016

Name : ANNA LIZA C. SESALDO (plus 1 brgy. Representative) Date of Travel : September 23, 2019
Position : HT-1 Purpose of Travel : To attend the ESIP District Roll-Out 2019 of Samboan District.
Official Station : SAMBOAN DISTRICT

Places to be visited TIME Means of


Date Transportation Per Diem Others Total Amount
(Destination) Departure Arrival Transportation

From Station to Samboan


9/17/2019 6:45 AM 7:00 AM habal-habal 50.00 100.00
Central ES
From Samboan Central ES to
Station
5:20PM 5:30PM habal-habal 50.00 100.00

From Station to Samboan


9/18/2019 habal-habal 50.00 100.00
Central ES 6:55 AM 7:00 AM
From Samboan Central ES to
Station
5:05PM 5:10PM habal-habal 50.00 100.00

From Station to Samboan


9/19/2019 6:35 AM 7:00 AM habal-habal 50.00 100.00
Central ES
From Samboan Central ES to
Station
habal-habal 50.00 100.00
5:10 PM 5:20 PM

From Station to Samboan


9/20/2019 6:40 AM 7:00 AM habal-habal 50.00 100.00
Central ES
From Samboan Central ES to
Station
habal-habal 50.00 100.00
5:00 PM 5:15 PM

From Station to Samboan


9/21/2019 6:40 AM 7:00 AM habal-habal 50.00 100.00
Central ES
From Samboan Central ES to
Station
habal-habal 50.00 100.00
5:00 PM 5:10 PM
-

-
-
-
-

TOTAL
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, ANNA LIZA C. SESALDO
(2) the travel is necessary to the service, (3) the period Signature over Printed Name
covered is reasonable and (4) the expenses claimed are
proper.
Approved by:

JEANETTE F. BANTAYA, Dev. Ed. D. BELEN T. PUGOY, Ed. D.


Signature over Printed Name Signature over Printed Name
School Head Disrict Supervisor

121
Department of Education
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee JEANETTE F. BANTAYA Employee No. 4531035
Office SAMBOAN DISTRICT
Division DIVISION OF CEBU PROVINCE
Particulars Amount

9/17/2019 From Station to Samboan Central ES PhP100.000


From Samboan Central ES to Station PhP100.000

9/18/2019 From Station to Samboan Central ES PhP100.000


From Samboan Central ES to Station PhP100.000

9/19/2019 From Station to Samboan Central ES PhP100.000


From Samboan Central ES to Station PhP100.000

9/20/2019 From Station to Samboan Central ES PhP100.000


From Samboan Central ES to Station PhP100.000

9/21/2019 From Station to Samboan Central ES PhP100.000


From Samboan Central ES to Station PhP100.000

TOTAL PhP1,000.00
Purpose
To attend the ESIP District Roll-Out 2019 of Samboan District.

I hereby certify that the above expenses are incurred as they are necessary for the above cited the purpose,
that above goods and services were acquired from parties not issuing receipts. And that I am fully aware that
willful falsification of statements is punishable by law.
Certified correct: Noted by:
Signature

ANNA LIZA C. SESALDO JEANETTE F. BANTAYA


Printed Name
Employee Immediate Supervisor
Date 9/23/2019 9/23/2019
P 250.00 7/23/2019 Van Ride fr P 250.00
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P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr
19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr
19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00
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P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr
19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr
19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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19 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Van Ride fr P 250.00 7/23/2019 Va
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Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: TANGBO ELEMENTARY SCHOOL Fund Cluster: 01-REGULAR

BELEN T. PUGOY SAMBOAN DISTRICT OFFICE


District Supervisor Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. 2019-016 dated 17/09/2019 to 21/09/2019 under conditions indicated below:

/ X / Strictly in accordance with the approved itinerary


/ / Cut short as explained below. Excess payment in the amount of
PhP was refunded under O.R. No. dated
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below

Explanation or justifications:

Evidence of Travel:
Appendix 45 and 47, COA form,
Memo; Certificate of Appearance; Accomplishment/Narrative Report

Respectfully submitted:

ANNA LIZA C. SESALDO


Name of Employee

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

Approved:

BELEN T. PUGOY, Ed.D.


Schools District Supervisor
DepEd - Cebu Province

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