Republic of the Philippines

Department of Education
SCHOOLS DIVISION OF CANLAON CITY

No. ______________
Date: May 21, 2024

APPENDIX A
ITINERARY OF TRAVEL

Name: DEAN BRYAN Z. BAYLON Monthly Salary: 19,744.00

Position: TIC Official Station: PATROCIÑA D. ENCARNACION NHS
Purpose of Travel: To conduct physical count inventory and to validate the schools building

Means of Allowance/Expenses
Time
Date Place to Transpor- Per Total
Fare
be Visited Departure Arrival tation Registration Fee Diem Amount
5/15/2024 Division Office to Villa Iowa ES 8:45 AM 9:15 AM Habal2x 70.00 70.00
Villa Iowa ES to Pula HS 10:00 AM 10:15 AM Habal2x 70.00 70.00
Pula HS to Pula ES 11:00 AM 11:30 AM Habal2x 15.00 15.00
Pula ES to Linothangan ES 11:45 AM 12:30 NN Habal2x 70.00 70.00
Linothangan ES to Kalubihan ES 1:00 PM 1:30 PM Habal2x 80.00 80.00
Kalubihan ES to Masulog ES 1:30 PM 2:30 PM Habal2x 80.00 80.00
Masulog ES to Masulog SHS/JHS 2:30 PM 3:30 PM Habal2x
Masulog SHS/JHS to Division Office 3:30 PM 4:00 PM Habal2x 100.00 100.00
Meals (Lunch) 80.00

5/16/2024 Division office to Tabalogo ES 8:30 AM 10:00 AM Habal2x 200.00 200.00

Tabalogo ES to Budlasan High HS 10:30 AM 11:30 AM Habal2x 80.00 80.00
Budlasan HS to Old Site Budlasan ES 12:00 NN 1:00 PM Habal2x 80.00 80.00
Old Site Budlasan to Division 1:30 PM 2:30 PM Habal2x 150.00 150.00
Meals (Lunch) 80.00

5/17/2024 Division Office to Carmen ES 8:30 AM 10: 30AM Habal2x 120.00 120.00
Carmen ES to Pasto ES 10:45 AM 12:30 NN Habal2x 250.00 250.00
Pasto ES to Uptown SHS/JHS 12:45 AM 1:50 PM Habal2x 175.00 175.00
Uptown JHS/SHS to MEMS 1:55 PM 2:10 PM Habal2x 20.00 20.00
Meals (Lunch) 80.00

TOTAL: ₱ 1,800.00

1) I certify that (1) I have reviewed the fore- 2) Prepared by:

going itinerary; (2) the travel was neces-
sary to the service; (3) the period covered DEAN BRYAN Z. BAYLON
was reasonable; (4) the expenses declared TIC
are proper.
3) APPROVED:

ARNULFA L. MARCIAL ATTY. ESTER A. FUTALAN

Supervising Principal Schools Division Superintendent
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

APPENDIX B
CERTIFICATE OF TRAVEL COMPLETED

ATTY. ESTER A. FUTALAN DIVISION OF CANLAON CITY

Schools Division Superintendent (Station)

21-May-24
Date

I certify that I have completed the travel authorized in Office Order No.
dated May 14, 2024, under conditions indicated below:

x Strictly in accordance with approved itinerary.

Cut short as explained below. Excess payment in the amount of ____ was returned under
O.R. No. ________ dated _____________

Extended as explained below. Additional itinerary was submitted.

Other deviation as explained below.

Explanation or justification:

Evidences of Travel

Used ticket x Travel Order

x Certiifcate of Appearance Official Receipt

Others: Certification of Expenses not Requiring Receipts

Respectfully submitted:

DEAN BRYAN Z. BAYLON

Officer or Employee

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

ATTY. ESTER A. FUTALAN

Schools Division Superintendent
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee DEAN BRYAN Z. BAYLON Employee No. 19,744.00
Office PATROCIÑA D. ENCARNACION NHS
Division Canlaon City
Particulars Amount (₱)

May 15, 2024

Div. office to Villa Iowa ES (Habal2x) 70.00
Villa Iowa ES to Pula HS (Habal2x) 70.00
Pula HS to Pula ES (Habal2x) 15.00
Pula ES to Linothangan ES(Habal2x) 70.00

TOTAL 225.00
Purpose
To conduct physical count inventory and to validate the schools building.
I hereby certify that the above
expenses are incurred as they are
necessary for the above cited
purpose, that above goods and
services were acquired from
parties not issuing reciepts. And
that I am fully aware that witful
falsification of statements is Certified correct: Noted by:
punishable
Signatureby law.

Printed Name DEAN BRYAN Z. BAYLON ARNULFA L. MARCIAL

Employee Supervising Principal
Date: May 21, 2024 Date:
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee DEAN BRYAN Z. BAYLON Employee No. 19,744.00
Office PATROCIÑA D. ENCARNACION NHS
Division Canlaon City
Particulars Amount (₱)

May 15, 2024

Linothangan ES to Kalubihan ES (Habal2x) 80.00
Kalubihan ES to Masulog ES (Habal2x) 80.00
Masulog SHS/JHS to Division Office (Habal2x) 100.00

TOTAL 260.00
Purpose
. To conduct physical count inventory and to validate the schools building.

I hereby certify that the above

expenses are incurred as they are
necessary for the above cited
purpose, that above goods and
services were acquired from
parties not issuing reciepts. And
that I am fully aware that witful
falsification of statements is
punishable by law.
Noted by:
Certified correct:
Signature
ARNULFA L. MARCIAL
Printed Name DEAN BRYAN Z. BAYLON Supervising Principal
Employee Date:
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee DEAN BRYAN Z. BAYLON Employee No. 19,744.00
Office PATROCIÑA D. ENCARNACION NHS
Division Canlaon City
Particulars Amount (₱)

May 16, 2024

Division Office to Tabalogo ES (Habal2x) 200.00
Tabalogo ES to Budlasan HS 80.00

TOTAL 280.00

Purpose
. To conduct physical count inventory and to validate the schools building.

I hereby certify that the above

expenses are incurred as they are
necessary for the above cited
purpose, that above goods and
services were acquired from
parties not issuing reciepts. And
that I am fully aware that witful
falsification of statements is
punishable by law.
Noted by:
Certified correct:
Signature
ARNULFA L. MARCIAL
Printed Name DEAN BRYAN Z. BAYLON Supervising Principal
Employee Date:
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee DEAN BRYAN Z. BAYLON Employee No. 19,744.00
Office PATROCIÑA D. ENCARNACION NHS
Division Canlaon City
Particulars Amount (₱)

May 16, 2024

Budlasan High School to Old Site Budlasan ES (Habal2x) 80.00
Old Site Budlasan to Division Office ( Habal2x) 150.00

TOTAL 230.00
Purpose
. To conduct physical count inventory and to validate the schools building.

I hereby certify that the above

expenses are incurred as they are
necessary for the above cited
purpose, that above goods and
services were acquired from
parties not issuing reciepts. And
that I am fully aware that witful
falsification of statements is
punishable by law.
Noted by:
Certified correct:
Signature
ARNULFA L. MARCIAL
Printed Name DEAN BRYAN Z. BAYLON Supervising Principal
Employee Date:
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee DEAN BRYAN Z. BAYLON Employee No. 19,744.00
Office PATROCIÑA D. ENCARNACION NHS
Division Canlaon City
Particulars Amount (₱)

May 17, 2024

Division Office to Carmen ES (Habal2x) 120.00
Pasto ES to Uptown SHS/JHS 175.00

295.00
TOTAL
Purpose
. To conduct physical count inventory and to validate the schools building.

I hereby certify that the above

expenses are incurred as they are
necessary for the above cited
purpose, that above goods and
services were acquired from
parties not issuing reciepts. And
that I am fully aware that witful
falsification of statements is
punishable by law.
Noted by:
Certified correct:
Signature
ARNULFA L. MARCIAL
Printed Name DEAN BRYAN Z. BAYLON Supervising Principal
Employee Date:
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF CANLAON CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee DEAN BRYAN Z. BAYLON Employee No. 19,744.00
Office PATROCIÑA D. ENCARNACION NHS
Division Canlaon City
Particulars Amount (₱)

May 17, 2024

Carmen ES to Pasto ES (Habal2x) 250.00
Uptown JHS/SHS to MEMS (Habal2x) 20.00

270.00
TOTAL
Purpose
. To conduct physical count inventory and to validate the schools building.

I hereby certify that the above

expenses are incurred as they are
necessary for the above cited
purpose, that above goods and
services were acquired from
parties not issuing reciepts. And
that I am fully aware that witful
falsification of statements is
punishable by law.
Noted by:
Certified correct:
Signature
ARNULFA L. MARCIAL
Printed Name DEAN BRYAN Z. BAYLON Supervising Principal
Employee Date: