Republic of the Philippines

PROVINCE OF ZAMBOANGA DEL SUR

Pagadian City

November 5, 2019
Date

I T I N E R A R Y OF T R A V E L
Name : Atty. ADONIS DEXTER C. CONEJOS Position : Attorney V
Official Station: Provincial Legal Office Monthly Salary : ______________
Purpose of Travel : To Visit the Office of The Assistant Provincial Administrator in Cagayan de Oro City.
TIME MEANS OF ALLOWANCE EXPENSES
DATE PLACE BE TO VISITED TRANPORT TRANS PER TOTAL
DEPARTURE ARRIVAL
ATION PORTATION DIEMS AMOUNT
October
2019
23 RES-Cagayan de Oro Service
1,800 1,800
City

Still in Cagayan de Service

24-25 3,600 3,600
Oro City

TOTAL 5,400

(2) I certify that : (1) I have reviewed the (1) Prepared by:
the foregoing Itinerary. (2) The travels
is necessary in the service.
(3) The period covered is reasonable

Atty. ADONIS DEXTER C. CONEJOS

Attorney V

(3) APPROVED:

JOEFE P. SUSON
Provincial Administrator
 Republic of the Philippines
Western Mindanao
PROVICE OF ZAMBOANGA DEL SUR
Pagadian City

OFFICE OF THE PROVINCIAL LEGAL OFFICER

HON. VICTOR J. YU Pagadian City

(Agency Head)

Provincial Governor
(Official Designation) (Date)

I HEREBY CERTIFY that I have completed the travel authorized in the itinerary of travel no.
________________ dated _________________, 20___
Under the conditions indicated below :

( ) strictly in accordance with the travel Itinerary.

( ) cut short and explain below : Excess payment in amount of
P _____________________________ was refunded on O.R. No ______
( ) Extended as explained below : Additional Itinerary was submitted.
( ) Other deviation is explained below.

EXPLANATION OR JUSTIFICATION

Evidence of travel attached hereto :

Certificate of Appearance.

Respectfully submitted:

Atty. ADONIS DEXTER C. CONEJOS

Attorney V

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

JOEFE P. SUSON
Provincial Administrator
 Republic of the Philippines
PROVINCE OF ZAMBOANGA DEL SUR
Pagadian City

November 5, 2019
Date

I T I N E R A R Y OF T R A V E L
Name : EDGAR Z. CONEJOS Position : DRIVER
Official Station: Provincial Legal Office Monthly Salary : ______________
Purpose of Travel : To Visit the Office of The Assistant Provincial Administrator in Cagayan de Oro City.
TIME MEANS OF ALLOWANCE EXPENSES
DATE PLACE BE TO VISITED TRANPORT TRANS PER TOTAL
DEPARTURE ARRIVAL
ATION PORTATION DIEMS AMOUNT
October
2019
23 RES-Cagayan de Oro Service
1,800 1,800
City

Still in Cagayan de Service

24-25 3,600 3,600
Oro City

TOTAL 5,400

(2) I certify that : (1) I have reviewed the (1) Prepared by:
the foregoing Itinerary. (2) The travels
is necessary in the service.
(3) The period covered is reasonable

EDGAR Z. CONEJOS
DRIVER

(3) APPROVED:

JOEFE P. SUSON
Provincial Administrator
 Republic of the Philippines
Western Mindanao
PROVICE OF ZAMBOANGA DEL SUR
Pagadian City

OFFICE OF THE PROVINCIAL LEGAL OFFICER

HON. VICTOR J. YU Pagadian City

(Agency Head)

Provincial Governor
(Official Designation) (Date)

I HEREBY CERTIFY that I have completed the travel authorized in the itinerary of travel no.
________________ dated _________________, 20___
Under the conditions indicated below :

( ) strictly in accordance with the travel Itinerary.

( ) cut short and explain below : Excess payment in amount of
P _____________________________ was refunded on O.R. No ______
( ) Extended as explained below : Additional Itinerary was submitted.
( ) Other deviation is explained below.

EXPLANATION OR JUSTIFICATION

Evidence of travel attached hereto :

Certificate of Appearance.

Respectfully submitted:

EDGAR Z. CONEJOS
DRIVER

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

JOEFE P. SUSON
Provincial Administrator