CERTIFICATE OF TRAVEL COMPLETED

JUANITA DELA CRUZ _______________

General Manager Station

I certify that the following persons have completed the travel authorized under
Travel Order No. __________ under the conditions indicated below:

1. To visit the _______________;

2. To visit the ground zero of onslaught of Super Typhoon Rolly in Virac,
Catanduanes; and
3. To assess the situation thereat and determine the needs of affected
persons/families.

 Strictly in accordance with the approved itinerary.

 Cut short as explained below. Excess payment in the amount of P

__________ was refunded per O.R. No. __________, dated
__________.

 Extended as explained below. Excess payment in the amount of P

__________ was refunded per O.R. No. __________, dated
__________.

 Other deviations as explained below.

Explanations or Justifications:
______________________________________________________
________________.

Evidences of travel attached hereto: receipts and others (certificate of

appearance).

Respectfully submitted:

JUAN DELA CRUZ

Private Secretary II

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

actually undertaken.

JUANA DELA CRUZ

Member, Board of Directors