Professional Documents
Culture Documents
DEPARTMENT OF EDUCATION
I certify that I have completed the travel authorized in itinerary of Travel No. ___________
dated ________________________________ under conditions indicated below:
Cut short as explained below. Excess payment in the amount of Php _________ was
returned in the amount of Php _______ was returned on ____________________
with O.R. No. _______________
Other deviations as explained below.
Explanations of Justifications:
__________________________________________________________________________________
__________________________________________________________________________________
______
Check No.:_________________________
Date Issue: ________________________
Amount: __________________________
Purpose of Travel:
____________________________________________________________________
Respectfully Submitted
_______________________
On evidence and information of which I have knowledge, the travel was actually undertaken.