Blank Itenerary

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ITINERARY OF TRAVEL Date:

NAME : Position: Monthly salary:

Official station: Brgy. Ariosa Residence: Ariosa, Molave, Zamboanga del Sur
Purpose of travel:

Date Places to be visited Date Places to be visited


(Destination) T I M E (Destination) T I M E

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Ar

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Prepared by:

I hereby certify that (1) have received the foregoing


Itinerary (2) travel is necessary to the service (3) the Employee
Period cover is resonable (4) the expenses claim are
Proper.
Approved:
FLORDELIS T. SARAGINA GENARO B. SARSABA
Committee on Appropriation Punong Barangay
Apendex b

GENARO B. SARSABA Molave, Zamboanga del Sur

Head of office station

I hereby certify that I have completed the travel authorized in the itinerary of travel No. ___ Dated ____
under the condition indicated below.
Strictly in accordance with the approved itinerary
Cut short and explain below, exhaust in the amount of
Extended is explain below, additional was submitted.
Explanation of justification:

Evidence of travel

Travel order, appendex A&B, tickets and certificate of appearance.

Respectfully yours:

__________________
Official/ Employee

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

GENARO B. SARSABA
Brgy. Captain
ITINERARY OF TRAVEL Date:
NAME : JOSELITO M. BABOR Position: BSEC Monthly salary: 5,280.00

Official station: BARANGAY ARIOSA Residence: Ariosa, Molave, Zamboanga del Sur

Purpose of travel: Provincial Congress cum Seminar for Barangay Secretaries

Date Places to be visited Means oFARE Perdiem Total


(Destination) T I M E transfortation Allowance

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I hereby certify that (1) have received the foregoing


Itinerary (2) travel is necessary to the service (3) the Prepared by:
Period cover is resonable (4) the expenses claim are ______________________
Proper. Employee
Approved:
FLORDELIS T. SARAGINA GENARO B. SARSABA
Committee on Appropriation Punong Barangay

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