Appendix 46

ITINERARY OF TRAVEL

LGU : ________________________________
Fund : ________________________________ No.: _______________

Name : Date of Travel :

Position :
Official Station : ____________________ Purpose of Travel :

Places to be visited TIME Means of Transpor- Per Total

Date Others
(Destination) Departure Arrival Transportation tation Diem Amount

TOTAL -
Prepared by :

I certify that : (1) I have reviewed the foregoing Signature over Printed Name
itinerary, (2) the travel is necessary to the service,
(3) the period covered is reasonable and (4)Approved
the by:
expenses claimed are proper.

ATTY. LISETTE M. ARBOLEDA

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative