ANNEX B

Republic of the Philippines

Department of Education
REGION VIII
DIVISION OF SAMAR
Catbalogan City, Samar

LOCATOR SLIP
REGION: VIII
BUREAU/DIVISION/SCHOOL: NACUBE ELEMENTARY SCHOOL
DATE OF FILING FEBRUARY 12, 2022
NAME DONABELLA P. BOLLER
PERMANENT
STATION NACUBE ELEMENTARY SCHOOL

POSITION/
DESIGNATION MASTER TEACHER II

PURPOSE
PROCUREMENT OF SCHOOL SUPPLIES
PLEASE CHECK Official Business Official Time
DESTINATION CALBAYOG CITY, WESTERN SAMAR

DATE AND TIME

OF EVENT/ FEBRUARY 12, 2022
TRANSACTION/
MEETING

Approved:

DONABELLA P. BOLLER JOYCE D. SANCHEZ

Signature of Requesting Head of Office or his/her Authorized
Official/ Employee Representative

Date:__________________________ Date:__________________________

CERTIFICATION

This is to certify that the above employee appeared in this Office for the above
purpose.

________________________ ________________ __________________

Signature over printed name Position Date

(Note: This portion shall be filled out by the Official/authorized personnel of the Office visited.)

*The accomplished and signed Locator Slip shall serve as the authority to travel.
 CERTIFICATION

This is to certify that the above employee appeared in this Office for the above
purpose.

JAMIL A. BANGNO, CPA ACCOUNTANT III __________________

Signature over printed name Position Date

(Note: This portion shall be filled out by the Official/authorized personnel of the Office visited.)

*The accomplished and signed Locator Slip shall serve as the authority to travel.
 ANNEX A
Republic of the Philippines
Department of Education
REGION VIII
DIVISION OF SAMAR
Catbalogan City, Samar

AUTHORITY TO TRAVEL CONTROL NO:

REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
POSITION/DESIGNATION
PERMANENT STATION

PURPOSE OF TRAVEL

ACTIVITY ORGANIZED/
SPONSORED BY

PERIOD COVERED
(Inclusive of Travel Time)

PLEASE CHECK Official Business Official Time

VENUE/DESTINATION
(subject to the usual accounting and auditing rules and regulations)
EXPENSES COVERED

FUND SOURCE
(Pap Code/…)
Recommending Approval: Approved:

_________________________________ _______________________________________
Name and Signature Name and Signature

Date:__________________________ Date:__________________________