Appendix 45

Republic of the Philippines

DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF TABUK CITY
City Hall Compound, Dagupan Centro, Tabuk City

ITINERARY OF TRAVEL

Entity Name : DepEd Division of Tabuk City

Fund Cluster: 1 No.: _______________

Name : NICE T. TEN Date of Travel : October 10-13, 23-27, 2017

Position : Administrative Assistant II Purpose of Travel : To attend regional coordination
Official Station : Tabuk City Division meeting w/ selected central, regional & division finance
personnel.To attend Seminar on Cash Management and
Control System.
Places to be visited TIME Means of Transpor- Per Total
Date Others
(Destination) Departure Arrival Transportation station Diem Amount
10/10/2017 Tabuk City- Baguio City 5:45 am 6:15 pm Van 518.00 240.00 758.00
10/10/2017 Terminal - Azalea Hotel Taxi 80.00 80.00
In Baguio City attending
10/11/2017 Seminar 160.00 160.00
10/11/2017 Azalea Hotel-DBM CAR Taxi 80.00 80.00
10/11/2017 DBM CAR-DepEd CAR Taxi 210.00 210.00

10/11/2017 DepEd CAR-Azalea Hotel Taxi 220.00 220.00

In Baguio City attending
10/12/2017 Seminar 240.00 240.00

10/12/2017 Azalea Hotel-DepEd CAR Taxi 230.00 230.00

DepEd CAR-Tabuk
10/12/2017 Terminal Jeep 15.00 15.00

10/12/2017 Baguio City - Tabuk City 09:00 pm 06:30 am PUB 518.00 518.00
10/23/2017 Tabuk City-
Taxi Fare Baguio
from City
Station - 5:45 am 6:15 pm PUB 518.00 640.00 1,158.00
10/23/2017 Destination
In Baguio City attending Taxi 120.00 120.00
10/24-26/2017 Seminar
Taxi Fare from Station - 2,160.00 2,160.00
10/27/2017 Destination Taxi 120.00 120.00
10/27/2017 Baguio City - Tabuk City 09:00 pm 07:30 am PUB 518.00 320.00 838.00
-
Registration Fee 3,600.00 3,600.00
6,907.00
-
-
-
-
-
-
-
TOTAL 10,507.00
LESS: CASH ADVANCE 7,996.00
TOTAL 2,511.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, MAE S. BACACAO
(2) the travel is necessary to the service, (3) the period Signature over Printed Name
covered is reasonable and (4) the expenses claimed are
proper.
Approved by:

JOAN M. DALILIS JOAN M. DALILIS

School Head School Head
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 Appendix 47
Republic of the Philippines
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF TABUK CITY
City Hall Compound, Dagupan Centro, Tabuk City

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DepEd Division of Tabuk City Fund Cluster: _________

JUAN D. CRUZ III

Director in-Charge Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. ________ dated ________ under conditions indicated below:

/ x / Strictly in accordance with the approved itinerary.

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

P_______ was refunded under O. R. No. ________ dated __________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:

Evidence of travel:
Memorandum, Travel Order, Certificate of Appearance, Bus Ticket

Respectfully submitted:

NICE T. TEN
Name of Employee

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

Approved by:

JUAN D. CURZ
School Head
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF TABUK CITY
City Hall Compound, Dagupan Centro, Tabuk City

October 2, 2017
AUTHORITY TO TRAVEL

NAME DESIGNATION SIGNATURE

LOTUO T. FA TEACHER II

OFFICIAL STATION : Schools Division of Tabuk City

DESTINATION :
: Regional Coordination Meeting with selected Central, Regional and Division
PURPOSE
Finance Personnel.
DATE OF TRAVEL : October 10-13, 2017
ESTIMATED EXPENSES :

CHARGEABLE AGAINST :MOOE

Recommending Approval:

TINA T. TINO
School Head

Approved by:

SALLY B. ULLALIM, CESO V

Schools Division Superintendent

[ ] On Official Time (Transportation Expenses Only)

[ ] On Official Business (Transportation Expenses and Per Diems)
[ ] On Official Time Only

Page 5 of 7
 Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________ Entity Name: _________________ Fund Cluster : ________________

Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from ______________________________________ RECEIVED from ______________________________________

(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________
(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(in Figures) (In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS WITNESS
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________
 ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF TABUK CITY
City Hall Compound, Dagupan Centro, Tabuk City

CERTIFICATIONS OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee NEIL L. YAPAN Employee No. 6285720
Office ACCOUNTING
Division TABUK CITY
Particulars Amount (P)

TOTAL
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above goods and services were acquired from parties not issuing receipts. And that I am
Certified correct: Noted by:
Signature
Printed Name JOAN M.DALILIS
Employee Immediate Supervisor
Date: Date:

ANNEX A
Republic of the Philippines
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF TABUK CITY
City Hall Compound, Dagupan Centro, Tabuk City

CERTIFICATIONS OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee NEIL L. YAPAN Employee No. 6285720
Office ACCOUNTING
Division TABUK CITY
Particulars Amount (P)

TOTAL
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above goods and services were acquired from parties not issuing receipts. And that I am
Certified correct: Noted by:
Signature
Printed Name JOAN M.DALILIS
Employee Immediate Supervisor
Date: Date: