Professional Documents
Culture Documents
Department of Education
Region IX, Zamboanga Peninsula
Schools Division of Zamboanga del Sur
Langapod Integrated School
Langapod, Labangan, Zamboanga del Sur
Purpose of Travel
To accept/receive and transport Nutritious Food Packs for SBFP SY 2023-2024
(must be supported from the drop-off point to the school
by attachments)
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e
LOVELY JOY L. MUNDOC September 19, 2023
Teacher I Date
This is to certify that the trip of the requesting employee satisfy all the minimum conditions for authorized official travel and the alternatives to travel are
insufficient for purpose stated herein.
T
h
i
s _________________ _________________
Approved:
ITINERARY OF TRAVEL
Name: LOVELY JOY L. MUNDOC Date of Travel: September 26, 2023 - Dec. 5, 2023
Position: Teacher I Purpose of Travel: To accept and transport Nutritious Food
Official Station : LANGAPOD INTEGRATED SCHOOL Packs for SBFP SY 2023-2024
TIME Means of Transporta- Per Others
Date Places to be visited
Departure Arrival Transportation tion Diem (Freight) Total Amount
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Sept. 26, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Oct. 3, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Oct. 10, 2023
Labangan CES -Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Oct. 17, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Oct. 24, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Nov. 7, 2023
Labangan CES -Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Nov. 14, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS- Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Nov. 21, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Nov. 28, 2023
Labangan CES -Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
Langapod IS - Labangan CES 7:30am 9:30am Bao-bao 200.00 200.00
Dec. 5, 2023
Labangan CES - Langapod IS 11:30pm 1:30pm Bao-bao 200.00 200.00 400.00
TOTAL 6,000.00
Prepared by :
I certify that : (1) I have reviewed the foregoing itinerary, LOVELY JOY L. MUNDOC
(2) the travel is necessary to the service, (3) the period Teacher I
covered is reasonable and (4) the expenses claimed are
proper. Signature over Printed Name
Approved by:
I hereby certify that I have completed the travel as authorized in the Travel Order/
Itinerary of Travel No. 200-23-005 dated September 26, 2023 , October 3, 10, 17, 24,2023,
November 7, 14, 21, 28, 2023 and December 5, 2023
under the condition indicated below:
Explanation or justification:
On evidence and information of which I have the knowledge, the travel was actually
undertaken.
ANNEX A
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001- dated June 19, 2017
Name of Employee LOVELY JOY L. MUNDOC 6284630
Employee No.
Office UPPER PULACAN ELEMENTARY SCHOOL
Division ZAMBOANGA DEL SUR
Particulars Amount ((₱)
Sept. 26, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Sept. 26, 2023 Labangan Central ES - Langapod IS 400.00
Oct. 3, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Oct. 3, 2023 Labangan Central ES - Langapod IS 400.00
Oct.10, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Oct. 10, 2023 Labangan Central ES - Langapod IS 400.00
Oct. 17, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Oct. 17, 2023 Labangan Central ES - Langapod IS 400.00
Oct. 24, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Oct. 24, 2023 Labangan Central ES - Langapod IS 400.00
Nov. 7, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Nov. 7, 2023 Labangan Central ES - Langapod IS 400.00
Nov. 14, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Nov. 14, 2023 Labangan Central ES - Langapod IS 400.00
Nov. 21, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Nov. 21, 2023 Labangan Central ES - Langapod IS 400.00
Nov. 28, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Nov. 28, 2023 Labangan Central ES - Langapod IS 400.00
Dec. 5, 2023 Bao-bao fare from Langapod IS to Labangan CES 200.00
Dec. 5, 2023 Labangan Central ES - Langapod IS 400.00
x-x-x-x-x-x-x-x-x-x-x
Subtotal 6,000.00
Purpose:
1. To receive/accept and transport SBFP Nutiriton Food Packs from the drop-off point to the school.
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose that above goods and services
were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statements is punishable by law.
Certified Correct: Noted By:
Signature:
Entity Name: _________________ Fund Cluster : ________________ Entity Name: _________________ Fund Cluster : ________________
Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________
_________________________________________________________ _________________________________________________________
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,
_________________________________________________________ _________________________________________________________
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________
WITNESS WITNESS
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________
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