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Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: _MASOF_______________ Fund Cluster: __________

___________________________ __________MASOF___________
Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. ________ dated October 13, 2016 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:
Please refer to attached travel order___
Evidence of travel:
Certificate of Appearance, van tickets, Memo, Travel order

Respectfully submitted:

_______ARCHIE A. OROLLO_________
Name of Employee

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

Approved:

SARAH A. SAMPARANI
Name of Director
Office

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