Republic of the Philippines

Province of Bulacan
City of Malolos

April 26, 2023

Date

TRAVEL ORDER

NAME OF EMPLOYEE: : BATANES, NOEL

NAME OF AUTHORIZED PASSENGER: : DELA CRUZ, RONALDO

DESTINATION: : GREENHILLS SAN JUAN

INCLUSIVE DATE OF TRAVEL: : 04/26/2023

GOVERNMENT VEHICLE/PLATE NO. : B7 F361

PURPOSE OF TRAVEL: : To canvas various computers / printers

Recommended by:

Approved by:
Requested Office

Office of the City Administrator

DRIVERS TRIP TICKET

To be filled by the Driver
1. Time of Departure from the Office/Garage :
2 Time of Arrival at (Per No. 4) :
3. Time of Departure From (Per No. 4) :
4. Time of Arrival back to Office/Garage :
5. Approximate Distance, Travelled to/from :
a. Balance in Tank :
b. Issued by Office From Stock :
c. Add Purchased during Trip :
TOTAL :
d. Deduct: used during the trip to/from :
e. Balance in Tank at the end of the trip :
6. Gear Oil Issued :
7. Lubricant Oil Issued :
8. Green Issued :
9. Speedometer Reader, if any :
A. at the beginning of the trip :
B. at the end of the trip :
10.REMARKS:

I hereby certify that the correctness of the above statement of travel

Signature of Driver

I hereby certify that I used this Vehicle on official business as stated below

Signature of Passenger