ATTACHMENTS FOR CLAIM OF TRAVEL

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MEMORANDUM STATING THAT EXPENSES ARE CHARGEABLE AGAINST MOOE/LOCAL FUND
AUTHORITY TO TRAVEL
ITENARY OF TRAVEL
BUS TICKET/ PLANE TICKET
CERTIFICATE OF APPEARANCE
CERTIFICATE OF TRAVEL COMPLETED
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 Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYSAS
SCHOOLS DIVISION OF ILOILO

AUTHORITY TO TRAVEL
REGION: VI
BUREAU/DIVISION/SCHOOL: ILOILO
Date of Filing 2/15/2022
Name CELORDE CASINAO

Position/Designation TEACHER III

Permanent Station DISTRIC OF CALINOG II
Purpose of Travel SUBMIT DOCUMENTS FOR BERF
Activity Organized/
Sponsored by
Period Covered
2/16/2022
(Inclusive of Travel Time)
Please Check X Official Business Official Time
DATE AND TIME
Venue/Destination
OF EVENT /
TRANSACTION
Recommending
MEETING Approval Approved:

ERLINDA C. PLONDAYA ASDS

(signature over printed name)
(Immediate Supervisor)
Date:_____________ Date:____________
 DEPARTMENT OF EDUCATION
SCHOOLS DIVISION OF ILOILO
Luna St. La Paz, Iloilo City

ITINERARY OF TRAVEL

NAME: SHERRYL A. MALONES POSITION: TEACHER II

STATION: BOLOLACAO NATIONAL HIGH SCHOOL DATE: June 20, 2022
RESIDENTIAL ADDRBADIANG, NEW LUCENA, ILOILO
Time Means of Travel Actual
Date Place to be visited
Departure Arrival Transportation Allowance Expenses TOTAL
Purpose: To conduct Reading Assessment for Grade 7 Learners
March 25, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

April 4, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

April 18, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

April 29, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

May 9, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

May 20, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

May 30, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

June 10, 2022 Station toBadiang,New Lucena,Iloilo 8:00 AM 8:20 am PUV 15.00 15.00
Badiang,NewLucena to Station 4:00 AM 4:20 AM PUV 15.00 15.00
-

Sub-Total 0.00 30.00 30.00

GRAND TOTAL - 240.00 240.00

PREPARED BY RECOMMENDING APPROVAL APPROVED

SHERRYL A. MALONES MICHELLE A. SALAVERIA JENNIFER E. TEJERESO

TEACHER II Bookkeeper Principal I/OIC
HOW TO FILL-UP CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS (CENRR) CORREC
***NOTE: (a) Secure One (1) Cert. of Exp Not Requiring Receipts per day
(b) CENRR is allowed to be used only if the amount per transaction is ₱ 300 and below.
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ILOILO
Luna St., Jaro, Iloilo City
ANNEX A
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001- dated June 19, 2017
Name of Employee SHERRYL A. MALONES
Office BOLOLACAO NATIONAL HIGHSCHOOL
Division ILOILO
Particulars Amount ((₱)
June 10, 2022
Station toBadiang,New Lucena,Iloilo (PUV) 15.00
Badiang,NewLucena to Station (PUV) 15.00

TOTAL 30.00
Purpose: To submit documents to records section get documents at the pigeon hole.

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
fully aware that wilful falsification of statements is punishable by law.

Certified Correct: Noted By:

Signature:
Printed Name: SHERRYL A. MALONES JENNIFER E. TEJERESO
Employee Immediate Supervisor
Date June 20, 2022
 DEPARTMENT OF EDUCATION
SCHOOL DIVISION OF ILOILO
Luna St. La Paz, Iloilo City

CERTIFICATE OF TRAVEL COMPLETED

SHERRYL A. MALONES BADIANG, NEW LUCENA, ILOILO

Agency Head Agency Address

TEACHER II June 20, 2022

Position Date

I hereby certify that i have completed the travel authorized in the itinerary of travel dated March 25, 2022, April 4, 2022, April
18, 2022, April 29, 2022, May 9, 2022, May 20, 2022, May 30, 2022, and June 10, 2022 under condition indicated below.

I hereby certify that i have completed the travel authorized in the Itenirary of Travel date
March 28, 2022, April 8, 2022, April 22, 2022, May 2, 2022, May 13, 2022, May 23, 2022, June 3, 2022, and June 13, 2022
under condition indicated below

X Strictly in accordance with the approved itinerary

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

is refunded under OR No dated

Other deviation as explained below

Explanation or justifcation below

Evidence of travel attached hereto.

PREPARED BY: APPROVED:

SHERRYL A. MALONES JENNIFER E. TEJERESO

TEACHER II Principal I/ OIC

On evidence and information of which I have

knowledge the travel was actally undertaken
 Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYSAS
SCHOOLS DIVISION OF ILOILO

LOCATOR SLIP
DISTRICT/SCHOOL: DISTRICT OF CALINOG II
2/15/2022
Date of Filing
Name CELORDE CASINAO
Permanent Station DISTRICT OF CALINOG II
Position / Designation TEACHER III
Purpose TO SUBMIT DOCUMENTS FOR BERF
Please Check / Official Business Official Time
Destination   OFFICE
DIVISION
Date and Time of Event/
2/16/2022
Transaction/ Meeting
Approved :

Signature of Requesting Head of Office or his/her

Official / Employee Authorized 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.
 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________

2/16/2022 RER No. : ___________________

RECEIVED from ______JONALYN EVANGELISTA________________

(Name)

________________ADAS III________________________ the amount

(Official Designation)

of __________________________________________ (P____500.00)
(In Words) (in Figures)

in payment for ________TRANSPORTATION___________________________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______________DHALIA TAMAYO____
Address _____________ILOILO CITY___________
CTC No /ID Presented ________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________
CTC No /ID Presented ________________________________________

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 Appendix 45

ITINERARY OF TRAVEL

Entity Name : _____________________

Fund Cluster: ____________________ No.: _______________

Name : _________________________________________Date of Travel : _____________________________

Position : _______________________________________Purpose of Travel : __________________________
Official Station : _________________________________ ___________________________________________

Places to be visited TIME Means of Transpor- Per

Date Others
(Destination) Departure ArrivalTransportationstation Diem

TOTAL
Prepared by :

I certify that : (1) I have reviewed the _____________________________________________

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

____________________________________ ______________________________________________
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 Appendix 45

__________

_______________
_______________
_________________

Total
Amount

_____________
me
______________
me
sentative