APPENDIX A

ITINERARY OF TRAVEL
__________________________
DATE
NAME:__________________________________________ POSITON:____________________________________
OFFICIAL STATION :________________________________ MONTHLY SALARY RATE:________________________
PURPOSE OF TRAVEL 1__________________________________________________
2 _________________________________________________
3__________________________________________________
4__________________________________________________
PLACE TO BE TIME MEANS OF TRANS- PER DIEMS/ TOTAL
DATE VISITED INCEDEJNTAL LODGING
DEPARTURE ARRIVAL TRANSFORTATION PORTATION EXP
AMOUNT

TOTAL P
I HEREBY CERTIFY that (1) I have recieved the foregoing
Itenery that (2) travel is necessary to service .(3) that the PREPARED BY:
period covered is reasonable and (4) that the expenses ____________________________
claimed is proper . OFFICIAL /EMPLOYEE

____JULIANA ANGUAY _________

SUPERVISOR APPROVED:
_____JULIANA ANGUAY____
HEAD OF OFFICE