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Republic of the Philippines Republic of the Philippines

Province of Bulacan Province of Bulacan


Municipality of San Ildefonso Municipality of San Ildefonso
Barangay Calasag Barangay Calasag

OFFICE OF SANGGUNIANG BARANGAY


Official Trip Ticket Official Trip Ticket OFFICE OF SANGGUNIANG BARANGAY
Official Trip Ticket
Trip Ticket No. _________
Type of Vehicle : Barangay Patrol Service Trip Ticket No. _________
Plate No.____________ Type of Vehicle : Barangay Patrol Service
Time of departure: ____________ Plate No.____________
Time of arrival: ___________ Time of departure: ____________
Destination:_____________________________ Time of arrival: ___________
_______________________________________ Destination:_____________________________
Name of driver: ____________________ _______________________________________
Signature: ________________________ Name of driver: ____________________
Signature: ________________________
Certified by:
Certified by:

PERLITO DG. VELASQUEZ


Chief- Brgy. Tanod PERLITO DG. VELASQUEZ
Chief- Brgy. Tanod
Approved by:
Approved by:

EDMUNDO A. GONZALES
Barangay Chairman EDMUNDO A. GONZALES
Barangay Chairman

Republic of the Philippines Republic of the Philippines


Province of Bulacan Province of Bulacan
Municipality of San Ildefonso Municipality of San Ildefonso
Barangay Calasag Barangay Calasag

OFFICE OF SANGGUNIANG BARANGAY


Official Trip Ticket Official Trip Ticket OFFICE OF SANGGUNIANG BARANGAY
Official Trip Ticket
Trip Ticket No. _________
Type of Vehicle : Barangay Patrol Service Trip Ticket No. _________
Plate No.____________ Type of Vehicle : Barangay Patrol Service
Time of departure: ____________ Plate No.____________
Time of arrival: ___________ Time of departure: ____________
Destination:_____________________________ Time of arrival: ___________
_______________________________________ Destination:_____________________________
Name of driver: ____________________ _______________________________________
Signature: ________________________ Name of driver: ____________________
Signature: ________________________
Certified by:
Certified by:

PERLITO DG. VELASQUEZ PERLITO DG. VELASQUEZ


Chief- Brgy. Tanod Chief- Brgy. Tanod

Approved by: Approved by:

EDMUNDO A. GONZALES EDMUNDO A. GONZALES


Barangay Chairman Barangay Chairman

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