======

ID#AAAANL3z ====== Appen

====== srs ID#AAAANL3z
ICT Unit
ID#AAAANL3z srM
======
(2021-06-27
ITINERARY OF TRAVEL ======
ssU
ssg
ID#AAAANL3z NOVEMBER 2019 ICT Unit
ID#AAAANL3z
ICT
suM 02:12:37)
Unit (2021-06-27
======
stU ======
SCHOOL
(2021-06-27 ====== 02:12:37)
ICT Unit ID#AAAANL3z
ICT Unit ====== ID#AAA
Entity Name : ====== CABANGCALAN
NAME
02:12:37) ELEMENTARY SCHOOL ID#AAAANL3z schedule
suA of srQ
(2021-06-27 ====== ssM (2021-06-27 ID#AAAANL3z
name
the of the
official
Fund Cluster: ID#AAAANL3z
02:12:37) MOOE travel
ICT No.:
Unit
02:12:37) sq4 _______________
ICT Uni
ID#AAAANL3z ICT Unit
official/employe
station
sr4 of the
position of the stc APPLICABLE
(2021-06-27
purpose ofICT Unit (2021-0
Name : ELMERe M.
going PAULE
on
official/employe Date(2021-06-27
of Travel : MONTH FORon
ICT Unit
official/employe ICT Unit 02:12:37)
travel based 02:12:3
travel
e going on 02:12:37) SCHOOL (2021-06-27
(2021-06-27
Position : ESHT-III
e going on (2021-06-27 Purpose of Travel : means
the
To attend of submit reportsamount
approved
Seminar,
time of HEAD 02:12:37)
Official Station :travel
02:12:37)
travel
Cabangcalan ES 02:12:37) departure from
transportation
travel order
PASDAM amount of
allowab
(SCHOOLof
schedule places where to be used traveling
Places
NAME toFOR
be visited T I M E and arrival
Means of to Transpor transportation
Per
Date travel the activities such as plane, expense
SCHOOL
(Destination) Departure Arrival places to be
Transportation -station expenses
Diem
are to be taxi, Jeepney, subsiste
HEAD) visited
performed tricycle etc. and lod
Cabangcalan to Floridablanca
11/04/2019 7:00 am 7:10 am Tricycle 35
Floridablanca to Golanco
intesection 7:10 am 7:30 am Jeepney 25
Golanco Intersection to San
Fernando intersection 7:30 am 7:50 am Jeepney 23
San Fernando intersection to
Otel Pampanga 7:50 am 8:00 am Tricycle 30
Otel Pampanga to San
Fernando intersection 5:00 pm 5:10 pm Tricycle 30
San Fernando intersection to
Golanco Intersection 5:10 pm 5:30 pm Jeepney 23
Golanco intersection to
Floridablanca 5:30 pm 5:50 pm Jeepney 25
Floridablanca to Cabangcalan
5:50 pm 6:00 pm Tricycle 35
Cabangcalan to Floridablanca
11/05/2019 7:00 am 7:10 am Tricycle 35
Floridablanca to Golanco
intesection 7:10 am 7:30 am Jeepney 25
Golanco Intersection to San
Fernando intersection 7:30 am 7:50 am Jeepney 23
San Fernando intersection to
Otel Pampanga 7:50 am 8:00 am Tricycle 30
Otel Pampanga to San
Fernando intersection 5:00 pm 5:10 pm Tricycle 30
San Fernando intersection to
Golanco Intersection 5:10 pm 5:30 pm Jeepney 23
Golanco intersection to
Floridablanca 5:30 pm 5:50 pm Jeepney 25
Floridablanca to Cabangcalan
5:50 pm 6:00 pm Tricycle 35
Cabangcalan to District Office
11/06/2019 8:00am 8:15 am Tricycle 35
District Office to Cabangcalan
11:00am 11:15 am Tricycle 35

11/08/2019 Cabangcalan to District Office 8:00am 8:15 am Tricycle 35

District Office to Cabnagcalan
ES 11:00am 11:00 am Tricycle 35

11/12/2019 Cabangcalan to District Office 8:00am 8:15 am Tricycle 35

District Office to Cabnagcalan
ES 2:00 pm 2:15 pm Tricycle 35
 Cabangcalan ES to
11/18/2019 Floridablanca 1:00 pm 1:10 pm Tricycle 35
Florida to Golanco
1:10 pm 1:30 pm Jeepney 25

Golanco to San Fernando

1:30 pm 1:50 pm Jeepney 23
San Fernando to Division
Office 1:50 pm 2:00pm Jeepney 8
Division Office to San
Fernando 4:00 pm 4:10 pm Jeepney 8

San Fernando to Golanco

4:10 pm 4:30 pm Jeepney 23

Golanco to Floridablanca
4:30 pm 4:50 pm Jeepney 25

Floridablanca to Cabangcalan
4:50 pm 5:00 pm Tricycle 35
11/19/2019 Cabangcalan ES to
Floridablanca 1:00 pm 1:10 pm Tricycle 35

Florida to Golanco
1:10 pm 1:30 pm Jeepney 25

Golanco to San Fernando

1:30 pm 1:50 pm Jeepney 23
San Fernando to Division
Office 1:50 pm 2:00pm Jeepney 8
Division Office to San
Fernando 4:00 pm 4:10 pm Jeepney 8

San Fernando to Golanco

4:10 pm 4:30 pm Jeepney 23

Golanco to Floridablanca
4:30 pm 4:50 pm Jeepney 25

Floridablanca to Cabangcalan ======

4:50 pm 5:00 pm Tricycle 35
ID#AAAANL3z
ss4
TOTAL
ICT Unit
(2021-06-27
I certify that : (1) I have reviewed the foregoing 02:12:37)
itinerary, (2) the travel is necessary to the Prepared by:
D. The IoT
service, (3) the period covered is reasonable and shall be
(4) the expenses claimed are proper. certified
====== by the ELMER M. PAULE
Immediate
ID#AAAANL3z
Supervisor of Signature over Printed Name
suY
the
ICT Unit
official/employe ESHT-III
ARCELI SANTOS-LOPEZ, Ph. D. (2021-06-27
e going on
02:12:37)
Signature over Printed Name travel,
Chief, SGOD D. Theas IoT
follows
shall be
e.g.
certified by the
PSDS
Immediate- for
Approved by: ELEMENTARY
Supervisor of
School
the Head's
Itinerary of
official/employe
LEONARDO C. CANLAS, Ed. D., CESE Travel
e going on
Signature over Printed Name travel, as
Assistant Division Schools Superintendent - Elementary follows
e.g.
PSDS - for
ELEMENTARY
School Head's
Itinerary of
Travel
== Appendix 45
AAANL3z
==
nit
AAANL3z
-06-27
== ====== ======
:37) ======
AAANL3z
nit ====== ID#AAAANL3z ID#AAAANL3z
dule of ID#AAAANL3z
-06-27 srQ srw
ID#AAAANL3z
No.: _______________ ssA
nit
:37) ICT Unit ICT Unit
ICABLEsq4 ICT Unit
-06-27
se ofICT Unit (2021-06-27 (2021-06-27
TH FORon (2021-06-27
:37)
based 02:12:37)02:12:37)
OOL (2021-06-27 02:12:37)
s of submit reportsamount of
pproved
minar, – amount of
D 02:12:37) – total of
portation
order allowableother allowable
SDAM amount of transportation
used travelingexpenses to be
transportation expense, per
as plane, Others expenseTotal
incurred/incurre
for
expenses Amount diem and other
Jeepney, subsistence
d during the
expenses
e etc. and lodging
travel
226

226

70

70

70
182
 182

1,026

AULE
ed Name
 ======
====== ID#AAAANL3z
ID#AAAANL3z suQ ====== Appen
====== ss8 ICT Unit ID#AAAANL3z
ID#AAAANL3z ICT Unit (2021-06-27 srU
======
(2021-06-27
ITINERARY OF TRAVEL
02:12:37)
======
sus
ssQ
ID#AAAANL3z JANUARY 2020 ICT Unit
ID#AAAANL3z
ICT
srA Unit02:12:37) shoul be (2021-06-27
======
stw ======
====== ======
(2021-06-27
ICT Unit SCHOOL detailed.. 02:12:37)
ID#AAAANL3z
ICT Unit ====== ID#AAA
Entity Name : 02:12:37)
CABANGCALAN ID#AAAANL3z
ELEMENTARY SCHOOL ID#AAAANL3z
======
(2021-06-27 NAME E.g. schedule
sro
(2021-06-27 of ssI
stk
====== ss0 ID#AAAANL3z
Fund Cluster: the name of
official
ID#AAAANL3z
02:12:37) the
MOOE Sta. Rita ES to travel
ICT UnitNo.:
02:12:37) st8 _______________
ICT Uni
ICT Unit
ID#AAAANL3z ICT Unit
official/employe
station
stA of
position of the the Sta. Rita APPLICABLE
(2021-06-27
purpose ofICT Unit (2021-0
(2021-06-27
stI (2021-06-27
Name : ELMERe going
ICT Unit M. PAULE
on
official/employe
official/employe Intersection Date of Travel : MONTH
02:12:37)
travel based FORon 02:12:3
02:12:37)
ICT Unit 02:12:37) (2021-06-27
travel
e
Position : ESHT-III
e going
(2021-06-27
going on on Sta. Rita. Purpose of Travel : SCHOOL
means
the of Submit reportsamount
approved
shoul be
(2021-06-27 time of To attend Seminar,
02:12:37)
Intersection to HEAD
Official Station :travel
02:12:37)
travel
Cabangcalan ES detailed..
02:12:37) departure from
transportation
travel order
Practice amount of
allowab
(SCHOOL
schedule of Dolores
====== San to be used traveling
E.g. where
places and arrival to transportation
Date NAME
travel
Places to FORbe visited Fernando
T I M
ID#AAAANL3z E Means of such
Transpor- as plane,
Per expense
Sta.activities
the Rita ES to places to be expenses
(DD/MM/YY) SCHOOL(Destination) Dolores
Departure
srE SanArrival Transportation taxi,
station Jeepney,
Diem subsiste
Sta.to
are Rita
be visited
HEAD) Fernando
ICT to
Unit 12:10:00 PM tricycle etc. and lodg
Intersection
performed
03/01/2020 Cabangcalan ES to District Office DO
12:00 PMPamp
(2021-06-27
Tricycle 35
Sta. Rita.
DO Pamp to
02:12:37)
Intersection to
District Office to Cabangcalan ES Dolores
4:00:00 PM
======
shoul beSan4:10:00 PM Tricycle 35
Dolores San
Fernando
ID#AAAANL3z
detailed..
Fernando
Dolores
sso
E.g. San
Dolores San
Fernando
ICT
Sta. Unit
Rita ESto to
Fernando to
11/01/2020 Cabangcalan ES to District Office Sta.
8:00 AM
Sta. Rita
(2021-06-27
Rita 8:10:00 AM Tricycle 35
DO Pamp
Intersection
02:12:37)
Intersection
DO Pamp to
District Office to Cabangcalan ES Sta.
shoul
1:30:00
Sta. PMRita
====== beSan
Rita. 1:40:00 PM Tricycle 35
Dolores
Intersection
ID#AAAANL3z
detailed..
Intersection to
Fernando to
Sta.
stY RitaSan
E.g.
Dolores ES 80
ICT
Sta. Unit
Rita ES
Fernando to to
(2021-06-27
Sta.
DoloresRita
Sta. RitaSan
02:12:37)
Intersection
Fernando
Intersection to
16/01/2020 Cabangcalan ES to District Office shoul
6:50
Sta.
DO
Sta.Pampbe 7:00:00 AM
AM Rita.
Rita
Tricycle 35
detailed..
Intersection
DO Pamp toto
Intersection to
District Office to Valdez ES E.g.
7:20:00 AM
Dolores
Sta. RitaSan
7:30 AM
ES
Tricycle 50
Sta. Rita ES to
Fernando
Valdez ES to District Office Sta.
2:00 PM Rita 2:10 PM
Dolores San
Tricycle 50
Intersection
Fernando to
District Office to Cabangcalan ES 2:25 PM Rita. 2:40 PM
Sta. Tricycle 35
DO
Sta. Pamp
Rita
Intersection
DO Pamp toto
Intersection
Dolores 80
Sta. RitaSan
Fernando to
Intersection
Dolores
Sta. RitaSan ES
23/01/2020 Cabangcalan ES to District Office
Fernando12:10:00
12:00 PM
to PM Tricycle 35
DO Pamp
Sta. Rita
DO Pamp to
Intersection
4:20:00 PM
Dolores 4:30 PM Tricycle 35
District Office to Cabangcalan ES
Sta. RitaSan
Fernando to
Intersection
Dolores
Sta. RitaSan ES
Fernando to
Sta. Rita
27/01/2020 Cabangcalan ES to Floridablanca 1:00 pm 1:10 pm Tricycle 35
Intersection
Sta. Rita
Florida to Golanco Intersection
1:10 pm topm
1:30 Jeepney 25
Sta. Rita ES
Golanco to San Fernando 1:30 pm 1:50 pm Jeepney 23
======
San Fernando to Division Office ID#AAAANL3z
1:50 pm 2:00pm Jeepney 8
st4
ICT Unit
(2021-06-27
02:12:37)
shoul be
detailed..
E.g.
 ======
ID#AAAANL3z
st4
ICT Unit
Division Office to San Fernando 4:00 pm 4:10 pm Jeepney 8
(2021-06-27
02:12:37)
San Fernando to Golanco shoul
4:10 pm be 4:30 pm Jeepney 23
detailed..
Golanco to Floridablanca
E.g.
4:30 pm 4:50 pm Jeepney 25
Sta. Rita ES to
Sta. Rita
Floridablanca to Cabangcalan 4:50 pm 5:00 pm
Intersection Tricycle 35

Sta. Rita.
Intersection to 80
Dolores San
Fernando
Dolores San
Fernando to
DO Pamp
DO Pamp to
Dolores San
Fernando
Dolores San
Fernando to
Sta. Rita
Intersection
Sta. Rita
Intersection to
Sta. Rita ES
 Intersection to
Dolores San
Fernando
Dolores San
Fernando to
31/01/2020 Cabangcalan ES to District Office 6:30
DO AMPamp6:40:00 AM Tricycle 35
DO Pamp to
District Office to Orchids D Forum Dolores
7:00 AM San
7:45:00 AM Service 50
Fernando
Orchids D Forum to District Office Dolores
4:30 PM San5:15 PM Service 50
Fernando to
Sta. Rita
District Office to Cabangcalan ES 4:50:00 PM 5:00:00 PM Tricycle 35
Intersection
Sta. Rita
Intersection to 80
Sta. Rita ES
======
ID#AAAANL3z
st0
ICT Unit
(2021-06-27
TOTAL
02:12:37)
I certify that : (1) I have reviewed the foregoing D. ThePrepared
IoT by:
itinerary, (2) the travel is necessary to the shall be
service, (3) the period covered is reasonable and certified by the ELMER M. PAULE
(4) the expenses claimed are proper. Immediate
======
Supervisor
ID#AAAANL3z of Signature over Printed Name
the
srY
official/employe
ICT Unit
ARCELI SANTOS-LOPEZ, Ph. D. e going on
(2021-06-27
travel,
02:12:37)as
Signature over Printed Name follows
Chief, SGOD D. The IoT
e.g.
shall be
PSDS
certified- for
by the
ELEMENTARY
Immediate
Approved by: School
SupervisorHead's
of
Itinerary
the of
Travel
official/employe
LEONARDO C. CANLAS, Ed. D., CESE e going on
Signature over Printed Name travel, as
Assistant Division Schools Superintendent - Elementary follows
e.g.
PSDS - for
ELEMENTARY
School Head's
Itinerary of
Travel
== Appendix 45
AAANL3z
==
nit
AAANL3z
-06-27
== ====== ======
:37) ======
AAANL3z
nit ====== ID#AAAANL3z ID#AAAANL3z
dule of ID#AAAANL3z
-06-27 ssI sr8
ID#AAAANL3z
No.: _______________ sts
nit
:37) ICT Unit ICT Unit
ICABLE st8 ICT Unit
-06-27
se ofICT Unit (2021-06-27 (2021-06-27
TH FORon (2021-06-27
:37)
based 02:12:37)02:12:37)
OOL (2021-06-27 02:12:37)
s of Submit reportsamount of
pproved
minar, – amount of
D 02:12:37) – total of
portation
order allowableother allowable
actice amount of transportation
used travelingexpenses to be
transportation expense, per
as plane, Others expenseTotal
incurred/incurre
for
expenses diem and other
eepney, subsistence
d during the
Amount
expenses
e etc. and lodging
travel
35

35

35

35

80

35

50

50

35

80

35

35

35

25

23

8
 8

23

25

35

80
 35

50

50

35

80

1,052

AULE

ed Name
 ======
====== ID#AAAANL3z
ID#AAAANL3z sss ====== Appen
====== suc ICT Unit ID#AAAANL3z
ID#AAAANL3z ICT Unit (2021-06-27 suI
======
(2021-06-27
ITINERARY OF TRAVEL
02:12:37)
======
sto
srg
ID#AAAANL3z FEBRUARY 2020 ICT Unit
ID#AAAANL3z
ICT
sug Unit02:12:37) shoul be (2021-06-27
======
srI ======
====== ======
(2021-06-27
ICT Unit SCHOOL detailed.. 02:12:37)
ID#AAAANL3z
ICT Unit ====== ID#AAA
Entity Name : 02:12:37)CABANGCALAN ID#AAAANL3z
ELEMENTARY SCHOOL ID#AAAANL3z
======
(2021-06-27 NAME E.g. schedule
suE
(2021-06-27 of stg
======
ssE sq8 ID#AAAANL3z
Fund Cluster: the name of
official
ID#AAAANL3z
02:12:37) the
MOOE Sta. Rita ES to travel
ICT UnitNo.:
02:12:37) suo _______________ ICT Uni
ID#AAAANL3z
ICT Unit ICT Unit
official/employe
station
ssY of
position of the the Sta. Rita APPLICABLE
(2021-06-27
purpose ofICT Unit (2021-0
stQ
(2021-06-27 (2021-06-27
Name : ELMERe going M.
Unit PAULE
on
official/employe
ICT
official/employe Intersection Date of Travel : MONTH
02:12:37)
travel FORon
based 02:12:3
ICT Unit
02:12:37) 02:12:37) (2021-06-27
travel
e
Position : ESHT-III
e going
(2021-06-27
going on on Sta. Rita. Purpose of Travel : SCHOOL
means
the of Submit reportsamount
approved
(2021-06-27
shoul be time of To attend Seminar,
02:12:37)
Intersection to HEAD
Official Station :travel
02:12:37)
travel
Cabangcalan ES 02:12:37)
detailed.. departure from
transportation
Meetings,travel order
Procurement ofamount of
office supplies
allowab
(SCHOOL
schedule of Dolores San to be used traveling
places where
E.g. and arrival to transportation
Date NAME
travel
Places to FORbe visited Fernando
T I M E Means of such
Transpor- as plane,
Per expense
the activities
Sta. Rita ES to places to be expenses
(DD/MM/YY) SCHOOL (Destination) Dolores
Departure
====== SanArrival Transportation taxi,
station Jeepney,
Diem subsiste
are to
Sta. Rita
be visited
HEAD) Fernando
ID#AAAANL3z to tricycle etc. and lodg
performed
Intersection
Cabangcalan ES to District Office DO
12:45:00 Pamp
PM
stE Rita.
12:55:00 PM Tricycle 35
Sta.
DO
ICT Pamp
Unit toto
Intersection
03/02/2020 District Office to Cabangcalan ES Dolores
4:00:00 PM San
(2021-06-27 4:10:00 PM Tricycle 35
Dolores San
Fernando
02:12:37)
Fernando
Dolores
shoul beSan
======
Dolores San
Fernando
detailed.. to
ID#AAAANL3z
Fernando to
Sta.
stMPM
E.g.
12:00:00 Rita
Cabangcalan ES to Solib Jeep Terminal
DO Pamp12:10:00 PM Tricycle 35
Intersection
ICT Pamp
Sta. Unit
Rita ES
DO to to
Solib Jeep Terminal - Golangco Sta.
12:15:00 PMRita
(2021-06-27
Sta. Rita 12:45:00 PM Jeep 25
Dolores San
Intersection
02:12:37)
Intersection to
Fernando
Golangco - Intersection Sta.
======
shoul
12:15:00
Sta.PMRita
beSan
Rita. ES PM
12:45:00 Jeep 23
Dolores
ID#AAAANL3z
detailed..
Intersection
Fernando to to
Intersection - Maimpis ssk
E.g.
12:50:00
Sta.PM
Dolores 1:10:00 PM
RitaSan
Jeep 10
ICT
Sta. Unit
Rita ES to
Fernando
Intersection
Kanto Maimpis - DBM (2021-06-27
Sta.
1:15:00 PMRita 1:30:00 PM
Dolores
Sta. RitaSan
Padyak 30
02:12:37)
Intersection
Fernando to to
Intersection
04/02/2020 DBM - Kanto Maimpis shoul
4:10:00
DOPM
Sta.
Sta. be ES
Rita.
Pamp
Rita
4:20:00 PM Padyak 30
detailed..
Intersection
DO Pamp toto
Maimpis - Intersection E.g.
4:20:00 PM
Dolores 5:00:00 PM
San Jeep 10
Sta. Rita ES to
Fernando
Itersection - Golangco Sta.
5:10:00 PMRita 5:50:00 PM
Dolores San
Jeep 23
Intersection
Fernando to
6:00:00
DOPM 6:45:00 PM Jeep 25
Golangco - Poblacion
Sta.
Sta. Rita.
Pamp
Rita
Intersection
DO Pamp toto
Intersection
Poblacio - Cabangcalan ES 6:50: PM 7:00:00 PM Tricycle 35
Dolores
Sta. RitaSan
Fernando
Intersection to
Dolores
Sta. RitaSanES
Fernando to
Cabangcalan ES to District Office 12:00 PM 12:10:00 PM Tricycle 35
DO
Sta.Pamp
Rita
DO Pamp to
Intersection
4:20:00
Sta.PMRitaSan 4:30 PM Tricycle 35
District Office to Cabangcalan ES
10/02/2020 Dolores
Fernando
Intersection to
Dolores
Sta. RitaSanES
Fernando to
Sta. Rita
Cabangcalan ES to Floridablanca 1:00 pm 1:10 pm Tricycle 35
Intersection
Sta. Rita
Florida to Golanco Intersection
1:10 pm topm
1:30 Jeepney 25
Sta.
======Rita ES
Golanco to San Fernando ID#AAAANL3z
1:30 pm 1:50 pm Jeepney 23
suk
ICT Unit
(2021-06-27
02:12:37)
12/01/2020 shoul be
detailed..
E.g.
 ======
ID#AAAANL3z
suk
ICT Unit
San Fernando to Division Office 1:50 pm 2:00pm Jeepney 8
(2021-06-27
02:12:37)
12/01/2020 Division Office to San Fernando shoul
4:00 pm be 4:10 pm Jeepney 8
detailed..
======
San Fernando to Golanco
E.g.
ID#AAAANL3z
4:10 pm 4:30 pm Jeepney 23
Sta. Rita ES to
sr0
Sta. Rita
ICT Unit
Golanco to Floridablanca 4:30 pm
Intersection 4:50 pm Jeepney 25
(2021-06-27
Sta. Rita.
02:12:37)
Floridablanca to Cabangcalan Intersection
shoul
4:50 pm be 5:00 topm Tricycle 35
Dolores
detailed..
====== San
Fernando
E.g.
ID#AAAANL3z 80
Dolores
Sta.
src RitaSan
ES to
Fernando
Sta.
ICT Rita to
Unit
Cabangcalan ES to District Office DO
12:45:00 Pamp12:55:00 PM
PM
Intersection
(2021-06-27
Tricycle 35
DO
Sta. Pamp
Rita. to
02:12:37)
19/02/2020 District Office to Cabangcalan ES Dolores
shoul beSan
Intersection
4:05:00 PM to PM
4:15:00 Tricycle 35
Fernando
Dolores
detailed.. San
Dolores
Fernando
E.g. San
Fernando
Dolores
Sta. RitaSanto to
ES
Sta. Rita
Fernando
Sta. Rita to
Intersection
DO Pamp
Intersection
Sta. Rita
DO Pamp
Sta. Rita. to
Intersection
Dolores Santo
Intersection to
Sta. RitaSan
Fernando
Dolores ES
Dolores San
Fernando
Fernando
Dolores to
San
Sta. Rita
Fernando to
Intersection
DO Pamp
Sta. Rita to
DO Pamp
Intersection
Dolores Santo
Sta. Rita ES
Fernando
Dolores San
Fernando to
Sta. Rita
Intersection
Sta. Rita
Intersection to
Sta. Rita ES
 02:12:37)
Dolores
shoul beSanto
Intersection
Fernando
Dolores San
detailed..
Dolores
Fernando
E.g. San
Fernando
Dolores
Sta. RitaSanto to
ES
Sta. Rita
Fernando
Sta. Rita to
Cabangcalan ES to District Office Intersection
DO PM
12:40:00 Pamp12:50:00 PM
Intersection Tricycle 35
Sta.Pamp
DO
Sta. Rita to
Rita.
24/02/2020 District Office to Cabangcalan ES
Intersection
Dolores
4:20:00 PM San
Intersection to PM
to
4:30:00 Tricycle 35
Sta. RitaSan
Fernando
Dolores ES
Dolores
Fernando San
Fernando
Dolores San to
Sta. Rita
Fernando to
Cabangcalan ES to District Office Intersection
6:30
DO AMPamp6:40:00 AM Tricycle 35
Sta. Rita
DO Pamp to
District Office to Orchids D Forum Intersection
Dolores
7:00 AM San to AM
7:45:00 Service 50
Sta. Rita ES
Fernando
Orchids D Forum to District Office Dolores
4:30 PM San 5:15 PM Service 50
28/02/2020
Fernando to
Sta. Rita
District Office to Cabangcalan ES 4:50:00 PM 5:00:00 PM Tricycle 35
Intersection
Sta. Rita
Intersection======
to 80
Sta. Rita ESID#AAAANL3z
ssc
ICT Unit
TOTAL(2021-06-27
02:12:37)
I certify that : (1) I have reviewed the foregoing D. ThePrepared
IoT by:
itinerary, (2) the travel is necessary to the shall be
service, (3) the period covered is reasonable and certified by the ELMER M. PAULE
(4) the expenses claimed are proper. Immediate
======
Supervisor
ID#AAAANL3z of Signature over Printed Name
the
ssw
official/employe
ICT Unit
ARCELI SANTOS-LOPEZ, Ph. D. e going on
(2021-06-27
travel,
02:12:37)as
Signature over Printed Name follows
Chief, SGOD D. The IoT
e.g.
shall be
PSDS
certified- for
by the
ELEMENTARY
Immediate
Approved by: School
SupervisorHead's
of
Itinerary
the of
Travel
official/employe
ROWENA T. QUIAMBAO, CESE e going on
Signature over Printed Name travel, as
Assistant Division Schools Superintendent follows
e.g.
PSDS - for
ELEMENTARY
School Head's
Itinerary of
Travel
== Appendix 45
AAANL3z
==
nit
AAANL3z
-06-27
== ====== ======
:37) ======
AAANL3z
nit ====== ID#AAAANL3z ID#AAAANL3z
dule of ID#AAAANL3z
-06-27 stg srk
ID#AAAANL3z
No.: _______________ suU
nit
:37) ICT Unit ICT Unit
ICABLE suo ICT Unit
-06-27
se ofICT Unit (2021-06-27 (2021-06-27
TH FORon (2021-06-27
:37)
based 02:12:37)02:12:37)
OOL (2021-06-27 02:12:37)
s of Submit reportsamount of
pproved
minar, – amount of
D 02:12:37) – total of
portation
order
ofamount
allowableother allowable
ment of
office supplies transportation
used travelingexpenses to be
transportation expense, per
as plane, Others expenseTotal
incurred/incurre
for
expenses diem and other
eepney, subsistence
d during the
Amount
expenses
e etc. and lodging
travel
35

35

35

25

23

10

30

30

10

23

25

35

35

35

35

25

23
 8

23

25

35

80

35

35
 35

35

35

50

50

35

80

1,038

AULE

ed Name