Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Regional Office No. 8, Kanhuraw Hill, Tacloban City
Tel. No. 321-2060; 321-2078; 321-2093

OBLIGATION
Payee

RUDITH A. ROCA

Office

DILG-Regional Office

Address

No.:
Date:

REQUEST

TACLOBAN CTY

Responsibility
Center

P.P.A

Account
Code

Amount

OBLIGATION for necessary and actual travel expenses

incurred re: Attendance to the Regional Workshop on the
Dissemiantion and Application of the Results-based
Monitroing and Evaluaton (RbME Framework and System
and TPT Training on the Dissemination and Application of
the REsults-bsed Monitoring and Evaluation Framework and
System

16, 234.00

TOTAL
A.

Certified
x

B. Certified
x

Charges to appropriation/allotment necessary, lawful

and under my direct supervision

Position

as indicated above

Signature

BLANCA P. CERCADO
OIC- CHIEF, LGCDD

Printed
Name
Position

Head, Requesting Office/Authorized Representative

Date

Allotment available and obligated for the purpose

Supporting documents valid, proper and legal

Signature
Printed
Name

16,234.00

MARICHU M. SAN MATEO

Budget Officer IV
Head, Budget Unit/Authorized Representative

Date

Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
Region 08, Tacloban City

Agency Head

DILG Regional Office VIII

(Station)

Regional Director
Designation

(Date)

Dr. PEDRO A. NOVAL, JR., CESO III

I CERTIFY THAT I have completed the travel authorized in Itinerary of Travel No.
, dated
, under conditions indicated below:
q
q
q

Srictly in accordance with the appoved 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 deviations as explained below.

Explanation or justifications:

Evidence of travel:
RO, Certificate of Appearance, RER, Tickets
On evidence and information of which I have knowledge, the travel was actually done.

Prepared by:

RUDITH A. ROCA

Employee

Approved by:

PEDRO A. NOVAL, JR.

Regional Director

DILG Regional Office VIII

(Station)

(Date)

ormation of which I have knowledge, the travel was actually done.

Revised January 1992

Date:

ITINERARY OF TRAVEL
Name:

Position

RUDITH A. ROCA

Official Station:

DILG Regional Office 8

Monthly Salary:

LGOO IV

Residence:

Purpose of Travel:
To attend the Regional Workshop on the Dissemination and Application of the Results-based
Monitoring and Evaluation (RbME) Framework and System (RbME Phase II ) and TOT Training
on the DissEmination and Application of the Results-based Monitoring and Evaluation (RbME)
Framework and System (RbME Phase II )
Date
2015
October

Places to be visited
(Destination)
6

7-8
9

Station to Terminal
Tacloban to Ormoc
Ormoc to Cebu
Per diem
Cebu to Venue
Training proper

Time
Departure
Arrival
6:00 AM
7:00 AM
1:30 PM

Training proper
Venue to Pier
Terminal Fee
Cebu to Ormoc
Ormoc to Tacloban

21

21- 23
24

Means of
Transportation

Cost/Allowance

Taxi
per diem

120.00
1,025.00
800.00
300.00
1,600.00

per diem

800.00

Taxi

300.00
25.00

5:00 PM

120.00

Station to Airport
Tacloban Airport to Manila
Terminal Fee
NAIA Terminal 3 to Venue
Training Proper (Icon Hotel)

5:30 AM
9:20 AM

Venue to Airport
Manila Airport to Tacloban

9:00 AM

plane
Taxi
per diem
per diem
plane

TOTAL

RUDITH A. ROCA
Employee

Approved by: (Head of Agency)

BLANCA P. CERCADO
OIC-Chief, LGCDD

2,400.00
320.00

16,234.00
Prepared by: (Official/Employee)

I certify that: (1) I have reviewed the foregoing itinerary, (2) the travel is
necessary to the service, (3) the period covered is reasonable and (4) the expenses
claimed are proper.

8,274.00
150.00

PEDRO A. NOVAL, JR.

Regional Director