Appendix B2

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CERTIFICATE OF TRAVEL COMPLETED

L
(Agency Head) (Station)

(Designation) (Date)

I HEREBY CERTIFY that I have completed the travel authorized in


itinerary of Travel No. dated under condition indicated below:

 Strictly in accordance with the approved itinerary

Cut short as explained below. Excess payment in the amount of Php


_______was refunded on Official Receipt No._______ date _____________.

Extended as explained below. Additional itinerary was submitted.

Other deviations as explained below:

Explanations or justifications:

Evidence of travel attached hereto:


Respectfully submitted:

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

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