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ITINERARY OF DAILY ACTIVITIES OF FIELD EMPLOYEES

NAME:___________________________ OFFICIAL STATION:________________________________ MONTH:____________________

POSITION:_________________________ MUN/PROV: MAGUINDANAO___

DATE DESTINATION PURPOSE AUTHORIZED TIME ROUTE MODE OF RATE (P) PER DIEMS TOTAL APPEARANCE REMARKS
BY TRANS (A) (B) (A+B)
DEP. ARR. FROM TO

_________________________________ This is to certify that travel is authorized Certified funds available Approved for payment
CLAIMANT and the activities were complete
under my supervision.

_________________________________
DATE
__DR. ULAMBAY U. LIDASAN, MD_ __ABUHALIL M. ALIBASA__ __DR. ELIZABETH A. SAMAMA,MD,MHM,FPSMS__
Municipal Health Officer ACCOUNTANT II OIC- Provincial Health Officer-II
IPHO-MAGUINDANAO

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