Republic of the Philippines

Department of Education
Regional Office No. VIII
Division of Northern Samar
LORENZO S. MENZON AGRO-INDUSTRIAL SCHOOL
LAPINIG N. SAMAR
Annex “D”

ITINERARY OF TRAVEL

Name: EDGAR D. LUCAPA__ No.: _______________

Date: _MARCH 29, 2019___ Date: _______________
Position: __TEACHER-II_________
Purpose:___To purchase supplies for graduation use
_________________________________________________________________________________

TIME Means of ALLOWABLE EXPENSES

Date Place to be Visited Transportati
Departur Arrival on Fare Per Total
e Diem Amount
March 29, 2019 Lapinig to Tacloban 4:00am 11:00am Van 400 800 1,400

March 30, 2019 Still at Tacloban 800 800

March 31, 2019 Tacloban-Lapinig 5:00pm 11:30pm Van 400 400 800
3,000

I certify that (1) have reviewed that foregoing itinerary; (2) the travel Prepared by:
necessary to the service; (3) the period covered is reasonable; (4) the
expenses claimed are proper; (5) authority to make inspection trips
outside of duty approved by the Secretary (see authority file)
EDGAR D. LUCAPA
________________________________ Employee

Recommending Approval:
Approved:

SANTIAGO E. SIDRO, JR. SANTIAGO E. SIDRO, JR.

Head Teacher IV/ OIC Head Teacher IV/ OIC
 Republic of the Philippines
Department of Education
Regional Office No. VIII
Division of Northern Samar
Mabini St., Brgy. Acacia, Catarman, N. Samar, 6400, Philippines

Annex “D”

ITINERARY OF TRAVEL

Name: ____________________________________ No.: _______________

Date : ____________________________________ Date: _______________
Position: ____________________________________
Purpose: __________________________________________________________________________
_________________________________________________________________________________

TIME Means of ALLOWABLE EXPENSES

Date Place to be Visited Transportation
Fare Per Total
Departure Arrival
Diem Amount
 I certify that (1) have reviewed that foregoing itinerary; (2) the Prepared by:
travel necessary to the service; (3) the period covered is reasonable ;
(4) the expenses claimed are proper; (5) authority to make inspection
trips outside of duty approved by the Secretary ( see authority file)
SANTIAGO E. SIDRO, JR.
DR. LIZA B. ENGO Head Teacher IV/ OIC
Chief of Office

Approved:

GAUDENCIO C. ALJIBE, JR.,Ph.D.,CESE

Assistant Schools Division Superintendent

Republic of the Philippines

Department of Education
Regional Office No. VIII
Division of Northern Samar
Mabini St., Brgy. Acacia, Catarman, N. Samar, 6400, Philippines

Annex “D”

ITINERARY OF TRAVEL

Name: ____________________________________ No.: _______________

Date : ____________________________________ Date: _______________
Position: ____________________________________
Purpose: __________________________________________________________________________
_________________________________________________________________________________

TIME Means of ALLOWABLE EXPENSES

Date Place to be Visited Transportation
Fare Per Total
Departure Arrival
Diem Amount
 I certify that (1) have reviewed that foregoing itinerary; (2) the Prepared by:
travel necessary to the service; (3) the period covered is reasonable ;
(4) the expenses claimed are proper; (5) authority to make inspection
trips outside of duty approved by the Secretary ( see authority file)
SANTIAGO E. SIDRO, JR.
DR. LIZA B. ENGO Head Teacher IV/ OIC
Chief of Office

Approved:

REY F. BULAWAN, Ed.D

CID CHIEF