EQUITABLE COMPUTER SERVICES INC.

9F Equitable bldg. 262 Juan Luna Street. Binondo, Manila

DISPATCH TRANSPORTATION REIMBURSMENT FORM

FIELD ENGINEER'S NAME ALCARAZ KIM G. FIELD ASSINGED: BULACAN/VALENZUELA

DATE SERVICE CALL# / EAR# PROV CLIENT NAME MERCHANT NAME COMPLETE ADDRESS PUJ/TRI/PUB/FX/LRT/OTHERS AMOUNT
7/27/2020 S200781576C 388766 BPI SUYSING-MEYCAUAYAN NORTH DIVERSION RD BO PANDAYAN MEYCAUAYAN BULACAN 100TRIC 100
7/27/2020 S200781302C 388767 BPI SUYSING-MRLJP NORTH DIVERSION RD BO PANDAYAN MEYCAUAYAN BULACAN 0
7/27/2020 S200781300D 388768 BPI SUYSING-MRLJP NORTH DIVERSION RD BO PANDAYAN MEYCAUAYAN BULACAN 0

STAR APPLIANCE CENTER INC-SM 60TRIC/60PUJ(NLEX)/40PUJ/40

7/28/2020 S200782617A 388770 X BPI SM BALIWAG BULACAN 200
BALIWAG PUJ
7/28/2020 S200777921A 388771 X BPI MERCANTILE STORES GROUPS INC SM BALIWAG BULACAN 0
7/28/2020 S200777911C 388772 X BPI MERCANTILE STORES GROUPS INC SM BALIWAG BULACAN 0

40PUJ/40PUJ/60PUJ(NLEX)60TR
BACK TO CITY 200
IC

7/29/2020 S200785490B 388777 X BPI GROTTO VISTA-BULACAN GRACEVILLED CSJDM BULACAN 60TRIC/40PUJ/30PUJ 130
7/29/2020 S200770758B 388778 X BPI MERCURY DRUG-MUZON BULACAN 282 CARRIEDO ST BRGY MUZON CSJDM BULACAN 50TRIC 50

BACK TO CITY 40PUJ/60TRIC 100

60TRIC/60PUJ(NLEX)/40PUJ/30
7/30/2020 S200663387E 388779 X BPI HPT-HIGH-BULACAN DONA TRINING BLDG BAGONG NAYON BALIWAG BULACAN 190
PUJ
7/30/2020 S200782971C 388780 X BPI PETROMN DE LEON STN-BUSTOS 36 PUROK 1 TANAWAN BUSTOS BULACAN 200TRIC 200
7/30/2020 S200778494B 388781 X BPI PHOTOLINE-SM BALIWAG SM BALIWAG BULACAN 200TRIC 200

40PUJ/40PUJ/60PUJ(NLEX)/60T
BACK TO CITY 200
RIC

7/31/2020 S200772435C 388782 X BPI CALTEX TJM NORTHSTAR-BUL 73 GOV FF HALILI AVE BAGBAGUIN STA MARIA BULACAN 60TRIC/35PUJ 95
7/31/2020 S200769719E 388783 X BPI PANDI CALTEX SERVICE STN NATIONAL RD PANDI PANDI BULACAN 50TRIC/30PUJ/50TRIC 130
7/31/2020 S200671626D 388784 X BPI PC HOME-WMART STA MARIA WALTERMART STA MARIA BULACAN 50TRIC/30PUJ 80
7/31/2020 S200783928C 388785 X BPI ELAYDA-LEGASPI DRM-BULACAN 406 P DELA MERCED ST BAYUMBON NORZAGARAY BULACAN 40TRIC/40PUJU/60TRIC 140

BACK TO CITY 60TRIC/40PUJ/35PUJ 135

8/1/2020 S200784408E 388786 X BPI RAPIDE AUTO SVC-PULILAN KM 45 HWAY TAAL PULILAN BULACAN 60TRIC/60PUJ(NLEX)/50TRIC 170
8/1/2020 S200663383C 388787 X BPI WALTERMART SUPERMARKET-PL BANGA 1ST PLARIDEL BULACAN 50TRIC/20PUJ 70
8/1/2020 S200780968F 388788 X BPI PHOEBE TANJANLANGIT-BULACAN 2F PETRON GAS STAION PADILLA ST PLARIDEL BULACAN 20PUJ/50TRIC 70

BACK TO CITY 30PUJ/60PUJ(NLEX)/60TRIC 150

PAN PHILIPPHINE HWAY BRGY MALIPAMPANG SAN ILDEFONSO 60TRIC/60PUJ(NLEX)/40PUJ/40

8/2/2020 S200363241B 388789 X CHEVRON JETHRO GAS STATION 240
BULACAN PUJ/40PUJ
8/2/2020 S200464543C 388790 X CHEVRON JRV GAS STATION BARRIO PAGALA DRT HWAY BALIWAG BULACAN 40PUJ 40

40PUJ/40PUJ/60PUJ(NLEX)/60T
BACK TO CITY 200
RIC

Grand Total
BDO Transpo Total 3090
CHEVRON Additional for Provincial 240*6
ESWIPE Prepaid Load 50 4620
MEDILINK Accomodation
ALLIED Meal allowance 40
Protected. Do not distribute without written consent of Equitable Computer Services, Inc. RDTR-FSD-001 | 00 08/09/2