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Republic of the Philippines

Province of Batangas
Municipality of San Jose
Bigain 1.0, San Jose, Batangas
ITENERARY NO: 15-03-005

ITINERARY OF TRAVEL

Name of Official: Elizabeth M. Mendoza


Position: Barangay Kagawad
Official Station: Bigain 1.0, San Jose, Batangas
Purpose of Travel: To attend 2015 Provincial Congress of Liga ng mga Barangay-Batangas Provincial Chapter
to be held at Crown Regency Tower and Hotel, Fuente Osmeña Ave.,Cebu City
TIME ALLOWANCES
DATE Place to be Visited Departure Arrival Means of Transportation Per Daily AMOUNT
2015 or Travelled Transportation Fare Diems Allowances TOTAL

San Jose to NAIA Terminal III 2:00 AM 3:45 AM Van 80.00 160.00 240.00
NAIA Terminal III to Mactan
6:15 AM 7:15 AM Airplane
03/05/15 Airport
Mactan Airport to Crown
Regency Towers and Hotel,
8:00 AM 10:00 AM Shuttle
Fuente Osmeña Ave., Cebu
City

03/06/15 Congress Proper

Crown Regency Towers and


Hotel, Fuente Osmeña Ave., 1:00 PM 3:00 PM Shuttle
Cebu City to Mactan Airport
03/07/15 Mactan Airport to NAIA
6:10 PM 7:10 PM Airplane
Terminal III
NAIA Terminal III to San Jose 8:00 PM 10:00 PM Van 80.00 160.00 240.00

Total - 160.00 320.00 480.00

I HEREBY CERTIFY that PREPARED BY:

(1). I have reviewed the foregoing itinerary. Elizabeth M. Mendoza


(2). The Travel is necessary to the service. Barangay Kagawad
(3). The period covered is reasonable.
(4). The expense claimed are proper.

APPROVED:

Herminigildo P. Maquinto Herminigildo P. Maquinto


Punong Barangay Punong Barangay

Republic of the Philippines


Province of Batangas
Municipality of San Jose
Bigain 1.0, San Jose, Batangas

APPENDIX B
CERTIFICATE OF TRAVEL COMPLETED

BIGAIN 1.0, SAN JOSE, BATANGAS


Station
Herminigildo P. Maquinto
Punong Barangay

I hereby certify that I have completed the travel authorized in Itenerary of Travel No. 15-03-005
dated , under the condition indicated below.

X Strictly in accordance with the approved itinerary.


Cut short. Explained below. Excess payment in the amount of P __________________
was refunded on O.R. No. _____________ dated _________________.
Extended as explained below. Additional itenerary was submitted.
Other deviations as explained below.

Explanations or justifications :

Evidence of travel attached hereto : Certificate of Appearance

Respectfully Submitted:

Elizabeth M. Mendoza
Barangay Kagawad

On evidence and information which I have knowledge, the travel was officially undertaken.
Herminigildo P. Maquinto
Punong Barangay

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