APPENDIX A

ITINERARY OF TRAVEL
Name: JUANA DE LA CRUZ Position: Teacher I

Official Station:
Purpose of Travel: To attend the 2023 Capability Building for PSDS, School Heads and Teachers on the Implementation
of the National Learning Camp (NLC) on July 19-20, 2023 at Severo Duterte Memorial Elem School
Covered Court
ALLOWABLE EXPENSES
PLACE TO BE TIME OF TIME OF MEANS OF TOTAL
DATE TRANSPORT
VISITED DEPARTURE ARRIVAL TRANSPORTATION Per Diem Others AMOUNT
ATION

7/19/2023 Residence to Venue 7:00 AM 8:00 AM Single Motorcycle 20.00 - - 20.00

7/19/2023 Venue to Residence 5:20 PM 6:00 PM Single Motorcycle 20.00 - - 20.00
7/20/2023 Residence to Venue 7:00 AM 8:00 AM Single Motorcycle 20.00 - - 20.00
7/20/2023 Venue to Residence 5:20 PM 6:00 PM Single Motorcycle 20.00 - - 20.00

TOTAL 80.00

I certify that (1) I have reviewed the foregoing

itinerary (2) the travel is necessary to the service, (3) the Prepared by: (Official/employee)
period covered is reasonable and (4) the expenses claimed
are proper JUANA DE LA CRUZ
Claimant
_______________________________
Immediate Head Approved:

ROSELLER N. GELIG, CESO VI

Schools Division Superintendent
Appendix B
CERTIFICATION OF TRAVEL COMPLETED

I certify that I have completed the travel authorized under T. O. No. _______
dated under conditions indicated below:

Strictly in accordance with the approved Itinerary.

Cut short as explained below. Excess payment in the amount of P

was refunded under O.R. No. , dated

Extended as explained below additional Itinerary was submitted.

Other deviations as explained below:

Explanations and/or justifications/accomplishments

(Please provide a short accomplishment report in attending the seminar)

Evidences of Travel attached herewith are:

Division Memorandum, Certificate of Appearance, CNRR

Respectfully submitted:

Name of Employee

On evidence and information of which I have knowledge, the travel was actually undertaken.

Approved:

ROSELLER N. GELIG CESO VI

Schools Division Superintendent
 SUMMARY OF EXPENSES

Title of Activity: 2023 Capability Building for PSDS, School Heads and Teachers on the Implementation of the
National Learning Camp (NLC) on July 19-20, 2023 at Severo Duterte Memorial Elementary School Covered Court

DATE PARTICULARS STORE/PAYEE RECEIPT NO. AMOUNT

July 19, 2023 Transportation expenses: Single Motorcycle: Juan de la CNRR 001 20.00
Residence to Venue Cruz (Driver)

July 19, 2023 Morning Snacks Jollibee Sands Danao City 00012345 80.00

July 19, 2023 Lunch Jollibee Sands Danao City 000678910 250.00

July 19, 2023 Afternoon Snacks Jollibee Sands Danao City 00011121314 80.00

July 19, 2023 Transportation expenses: Single Motorcycle: Juan de la CNRR 002 20.00
Venue to Residence Cruz (Driver)

July 20, 2023 Transportation expenses: Single Motorcycle: Juan de la CNRR 003 20.00
Residence to Venue Cruz (Driver)

July 20, 2023 Morning Snacks Jollibee Sands Danao City 00012345 80.00

July 20, 2023 Lunch Jollibee Sands Danao City 000678910 250.00

July 20, 2023 Afternoon Snacks Jollibee Sands Danao City 00011121314 80.00

July 20, 2023 Transportation expenses: Single Motorcycle: Juan de la CNRR 004 20.00
Venue to Residence Cruz (Driver)

TOTAL 900.00

Prepared by: Certified and Reviewed:

(Teacher) (School Head)

Recommending Approval: Approved:

(PSDS) ROSELLER N. GELIG, CESO VI

Schools Division Superintendent
 CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017

Name of Employee KEICHIE R. QUIMCO Employee No. 6072243

Office DepEd Division of Danao City
Division Division of Danao City
Particulars Amount (P)
Transportation Expense from Residence to Venue on July 19, 2023 20.00
Transportation Expense from Venue to Residence on July 19, 2023 20.00
Transportation Expense from Residence to Venue on July 20, 2023 20.00
Transportation Expense from Venue to Residence on July 20, 2023 20.00

TOTAL 80.00
Purpose: National Learning Camp (NLC)

I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above goods and services acquired from parties not issuing receipts. And that I am
fully aware that witful falsification of statements is punishable by law.

Certified Correct: Noted by:

Signature:
Printed Name: KEICHIE R. QUIMCO GERSO S. GERALLA
Employee Immediate Head
Date:
I. Meals and Snacks:
1 Receipts
2 Division Memorandum with the List of Participants
(Please highlight your name)
3 Certificate of Appearance (original copy)
4 Certificate of Participation (photocopy)
5 Documentation (at least 3 pictures in 1 bondpaper only)

II. Transportation Expenses

1 Itinerary of Travel (Appendix A and B)
2 Certificate of Expenses Not Requiring Receipts (CENRR)
3 Bus ticket (if applicable)