LGU-San Francisco

(Agency)

CERTIFICATE OF TRAVEL COMPLETED

BENEDICTA D. TIAOZON San Francisco

(Agency Head) (Station)

Municipal Mayor March 13, 2023

Position Title (Date)

I CERTIFY THAT I have completed the travel authorized in itinerary of

Travel No. MAO-03-01-2023 dated March 1, 2023 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 or Justification: ______________________________________________________

______________________________________________________________________________
______________________________________________________________________________

Evidences of travel:

/
Certificate of appearance
Others:

/ Travel Order
Ticket
/

Respectfully submitted:

CLARISA R. BAJALA
Agricultural Technologist

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

BENEDICTA D. TIAOZON
Municipal Mayor