Appendix 47 - CTC BLANK

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Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: _____________ Fund Cluster: __________

ELSIE T. BARRIOS, PhD. Schools Division of Palawan


Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. _____________________ dated __________________ under
conditions indicated below:

/ x / Strictly in accordance with the approved itinerary.


/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Evidence of travel:
Approved Authority to Travel, Locator Slip, RER, Appendix A & B__and____________
________________________________________________________________________

Respectfully submitted:

_______________________

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

Approved:

__________________
Immediate Supervisor

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