You are on page 1of 2

Document Code

FM-QP-R4A-FAD-AS-17-04
Republic of the Philippines
Department of the Interior and Local Government
Region IV-A (CALABARZON)
Rev. No. Eff. Date Page
00 10.01.17 1 of 2

SUMMARY OF EXPENSES

O.R. Number (if Means of


Date Particular applicable) Transportation Amount
10-15-2020 Transportation n/a Tricycle Php 60.00
Transportation Jeep
10-20-2020 n/a 12.00
Transportation Tricycle
10-23-2020 n/a 60.00
Transportation Tricycle
10-28-2020 n/a 60.00
Transportation Jeep
10-30-2020 n/a 12.00
**nothing follows**
TOTAL Php 204.00

Prepared By:

JUAN A. DELA CRUZ


Contact Tracer, Mabitac, Laguna

Verified

LGOO V VHERNALYN P. JACOB


OIC-MLGOO, DILG Mabitac

Noted by:

ENGR. JOHN M. CEREZO


OIC-Provincial Director, DILG Laguna

THIS DOCUMENTED INFORMATION IS CONTROLLED AND NOT TO BE REPRODUCED WITHOUT AUTHORIZATION


THIS DOCUMENTED INFORMATION IS CONTROLLED AND NOT TO BE REPRODUCED WITHOUT AUTHORIZATION

You might also like