APPENDIX "B"

DEPARTMENT OF AGRARIAN REFORM (AGENCY) CERTIFICATE OF TRAVEL COMPLETED

(Agency Head)

(Station)

(Designation)

Date

I certify that I have completed the travel authorized in the attached Travel Orders under the conditions indicated below: Strictly in accordance with the approved itinerary. Cut short as explained below. Excess payment in the amount of P was refunded on O.R. No.__________________ dated Other deviations as explained below. Explanations or Justifications:

Respectfully Submitted:

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

Supervisor