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Republic of the Philippines

Province of Davao
Island Garden City of Samal

CITY GENERAL SERVICES OFFICE

REQUEST FOR VEHICLE FORM

(Please fill-up the space provided so that your request will be processed on time.)
Type of Vehicle & Plate
Number
Date and Time of Travel
Driver
Purpose of Travel

Specific Itinerary of Travel

Note: the Requesting party shall share the responsibility of providing the required fuel and oil of the trip.

Requesting Head of Office

(To be filled-up by CGSO designated Mechanic.)

Type of Vehicle & Plate


Number
Date and Time of Travel
Status of Vehicle
Inspected by
Withdrawn By
Released by
Remarks

Received: Approved:

SARMENA H. PASAOL PERCENITO O. BUSTAMANTE,MPA


Admin Asst. I City General Services Office

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