–APPENDIX B–

CERTIFICATE OF TRAVEL COMPLETED

(Agency Head) ( Station )

I CERTIFY that I have completed as travel authorized to itinerary of Travel 0000 on -------
respectively 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 on O.R. No. _________________ dated _________________.

( ) Extended as explained below. Additional itinerary was submitted.

________________________________________________

( ) Other deviation as explained below: SEE TRAVEL ORDER

Evidence of travel attached here to : APPENDIX “A” & “ B”, Travel order, Certificate of
Appearance.

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

Respectfully submitted:

Xxx
Employee

xxxMunicipal Mayor