APPENDIX B

PROVINCIAL AGRICULTURE OFFICE Alunan Ave., City of Koronadal

(Agency) (Station)

I CERTIFY that I have completed the travel authorized in the Itinerary of

Travel Nos. __________ dated August 2020 under conditions indicated below:

(x) Strictly in accordance with the approved itinerary.

( ) Cut shortly as explained below. Excess payment in the amount of

_________________ was refunded on O.R. No. _______________ dated
______________________.

Extended as explained below:

Explanation or justification:

______________________________________________________________________________
______________________________________________________________________________
_________________________________________________________________

Evidence of travels:

1. Certificates of appearance
2. Travel Orders with Accomplishment Reports

Submitted by:

RONALD D. PACOL
Agriculturist 1

On evidence and information of which I have knowledge of the travel

actually undertaken.

MAYLIN B. DELOS SANTOS

Supervisor