TRIP TICKET Reference # : 80,874

TIME OF DEPARTURE : 9/19/2022 8:59 am w/ E- PASS No.

AXEIA DEVELOPMENT CORPORATION | BASIC
HOUSING SOLUTIONS, INC. | ASIATIC LAND INC. TIME OF ARRIVAL : 9/19/2022 12:00 pm w/ FLEET CARD No
| I-ASIATIC INNOVATIONS PHILS., INC.

REQUESTED BY DATE FILED

September 19, 2022 9:11 am

DORIA, Jilbert Saguinsin

Main Destination Purpose

LMB - Vulcanizing Shop VV Vulcanized of Flat Tire.

ASSIGNED VEHICLE POSIBLE EXPENSES : FUEL Ps

TOLL Ps
VEHICLE 2022 ISUZU ELF REBUILT DUMP TRUCK - LMB3
MEALS Ps
PLATE NO
OTHERS Ps
DRIVER BIBOSO, Ruben Baguing
TOTAL Ps

REMARKS (Requestor): Co-Passenger/s

Vulcanized of Flat Tire.

NOTES (for purpose of reimbursement)

APPROVED BY EXECUTIVE APPROVAL
a) Fill-up correctly all the requested information
REPASO, Jundel Babiera
particularly the Odometer-Readings; and
9/21/2022 9:51 am N/A b) Approving Officer must be of higher authority
than the Requisitioner

ACTUAL TRIP

FROM TO Odometer Odometer EST. KM.

COVERAGE
(Point of Origin) (Point of Destination) FROM TO Distance

- KM

Total EST KM

REMARKS (Admin):

REVIEWED BY: NOTED BY: