DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

KALAHI CIDSS NCDDP ADDITIONAL FINANCING

BARANGAY LANGKONG, M'LANG, COTABATO

ITINERARY OF TRAVEL

No. : ___________
NAME: IVY C. VALENCIA
PURPOSE OF TRAVEL: FOR OPENING OF ACCOUNT FOR KC NCDDP-AF

TIME EXPENSES Signature of Person/

Representative of Establishment
DATE PLACES TO BE VISITED
Means of Total Amount
Departure Arrival Transportation Per Diem
Trans. Visited

AM PM AM PM
9/22/2022 LBP M'LANG 8:00am 8:30am 400pm 5:00pm TRICYCLE

- - -

Prepared By:
IVY C. VALENCIA
 "ANNEX G"

Republic of the Philippines

Department of Social Welfare and Development
Barangay:
Municipality:

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Office
Division
Date Particulars Amount (P)
2023

Total
Purpose of Travel:
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods and
Certified Correct: Noted by:

Signature
Printed Name Requestor
Employee BDC-TWG Chairperson
Date Date
 DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
KALAHI CIDSS
Write the No. NCDDP ADDITIONAL
of this Liquidation Summary Report FINANCING
For the Period _________ to ____________ , 20__
BARANGAY ____________________________________________
MUNICIPALITY __________________________________________
PROVINCE ________________________________

Expense Items

Office Supplies Transportation

Date PCV No. Payee Particulars (inc photo-copying) Expense Meals

TOTAL

Prepared by: Approved by:

Barangay Treasurer BDC TWG Chairperson

NT
ANCING

__
__

Others
(Specify) TOTAL
Write
Other
expense
items
CDD Form/Template #59

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

KALAHI CIDSS NCDDP ADDITIONAL FINANCING
Barangay:
Municipality:

PETTY CASH VOUCHER

PAYEE: ______________________________________________ PCV No.

(Must be pre-numbered)
Date

PARTICULARS AM

TOTAL

Requested by: Approved by: Received By:

(Name of Person making the BDC-TWG Chairperson

Request) (Print name of person r
 AMOUNT

rson receiving the cash)

 "ANNEX H"

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster:

Date: RER No.:

RECEIVED from
(Name)

(Official Designation)
the amount of (P .00 )
(In Words) (In figures)
in payment for Transportaion / Fare
(Payments for Subsistence, services,

rental or transportation should show inclusive dates,

purpose, distance, inclusive points of travel, etc.)

PAYEE

Name / Signature
Address
Reasons for non-issuance of tape/official receipt __________________________________

WITNESS
Name / Signature
Address