Professional Documents
Culture Documents
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DAVIAN CLARKE
Name of Officer ……………………………………………………………………………………Make of Vehicle …………………………………………………
HONDA
0.00 0.00
Motorcar Commuted/Upkeep allowance at …………………………………………….per annum $____________________________________
Or $0.00
Motorcycle
493.00
Actual Mileage ……………………………at ……………………………….per Km 0.00
$____________________________________
0.00
Passenger Mileage………………………….at ………………………………..per Km
$0.00 0.00
$____________________________________
0.00
Total $____________________________________
January, 2023
I hereby certify upon honour that I have, during the month of ………………………………….performed the travelling set out overleaf and have kept in my
motor car
possession/or as my own property a …………………………………for which the allowance as provided in the Staff Orders for the Public Service 2004 is payable
motor car
to me, and that the said………………………………….has not been let out for hire. I further certify upon honour, that all travelling on private business
or pleasure has been excluded from the total mileage making up this claim
………………………………………………. ….…………………..
Signature of Claimant Date
I hereby certify that I have examined this claim and found it to be for travelling Document Expiry Date
I hereby
on certify
duty only, andthat
the Itrips
havemade
examined this claim
and mileage and found
incurred it to be
have been for travelling
necessary for
on proper
duty only, and the trips made and mileage Driver’s Licence
the performance of the officer’s duties. incurred
However,have been necessary for
the information
the properthe
regarding performance of theand
driver’s licence officer’s duties
the motor vehicle documents have not been Motor Vehicle Registration Certificate
verified by me.
………………………………………….. ……………………. Motor Vehicle Certificate of Fitness
Certifying Officer
………………………………………….. Date
……………………. Motor Vehicle Insurance Certificate
Certifying Officer Date
Programme/SubProg.
Activity/Project
Sub-Activity/Project
Object/Sub Object
Amount $
Amount in Words Tax Registration CTMS Ref #/
Number (TRN) Cheque No.
Total $
.
Voucher Processing Details Authorisation ( Finance &Accounts Division/Branch/Unit) (Accountable Officers)
I certify that this voucher has been properly prepared ,the payee entitled to the amount stated herein, the
Checked by ____________________ calculations are correct ,according to regulations and contract, and that funds are available.
___________________________________________ ________________________________
Posted by ____________________ Certifying Officer Authorising Officer
Clear Form