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CERTIFICATION OF TRAVEL COMPLETED

Entity Name : TAGULOD HIGH SCHOOL Fund Cluster : MOOE

INOCENCIA C. MAÑAOL TAGULOD HS-Senior


Officer in-Charge Station

I HEREBY CERTIFY that I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. dated under conditions indicated below:

/ x / Strictly in accordance with the approved itinerary.


/ / Cut short as explaoned below. Excess Payment on the amount of
P was refunded under O.R. No. dated
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.

Explanation or justifications:

Evidence of travel :
Personnel Locator Slip/s and other required attachment/s

Respectfully submitted:

LORETA M. VINCULADO
Name of Employee

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

Approved :

LEONARDO D. ZAPANTA, Ed.D., CESO VI


Schools Division Superintendent
Appendix 45

ITINERARY OF TRAVEL

Entity Name : TAGULOD HIGH SCHOOL / Senior


Fund Cluster: MOOE No.: _______________

Name : Loreta M. Vinculado Date of Travel March 1, 4, 11, 13, 2019


Position :ADAS II Purpose of Travel
Submit
: reports, DBM purchases,
Official Station : Tagulod High School and other related business

Places to be visited TIME Means of Transpor- Per Total


Date Others
(Destination) Departure Arrival Transportation station Diem Amount
Nov. 19 from the station to Highway
Bulualto, San Miguel,Bul. 8:00 8:30 TRICYCLE 80.00 -----
to Pulilan to terminal Robinson 8:35 10:25 JEEP/BUS 66.00
to SM, Pampanga 12:20 12:30 XUV 60.00
to Div. Office 12:40 12:55 JEEP 9.00
from Div. Ofice to SM, Pampanga 2:30 2:40 JEEP 9.00
to Pulilan>terminal Robinson 2:55 3:30 XUV 60.00
to Bulaualto, San Miguel 3:35 5:00 BUS/JEEP 66.00
to Tagulod 5:05 6:00 TRICYCLE - 350.00
Nov. 23 from the station to Highway
Bulualto, San Miguel,Bul. 9:00 9:30 TRICYCLE
to Pulilan>terminal Robinson 9:35 11:40 JEEP/BUS 66.00 80.00
to SM, Pampanga 12:30 12:45 XUV 60.00
to Div. Office 12:50 1:00 JEEP 9.00
from Div. Ofice to SM, Pampanga 3:00 3:10 JEEP 9.00
to Pulilan>terminal Robinson 3:20 4:10 XUV 60.00
to Bulaualto, San Miguel 6:00 BUS/JEEP 66.00
to Tagulod 6:45 TRICYCLE 350
Nov. 28 from the station to Highway
Bulualto, San Miguel,Bul. 8:35 9:20
to Pulilan>terminal Robinson 9:25 10:30 TRICYCLE 66.00 80.00
to SM, Pampanga 11:00 11:10 JEEP/BUS 60.00
to Div. Office 11:15 11:55 XUV 9.00
from Div. Ofice to SM, Pampanga 2:00 2:20 JEEP 9.00
to Pulilan>terminal Robinson 2:20 3:00 JEEP 60.00
to Bulaualto, San Miguel 5:45 6:00 XUV 66.00
to Tagulod 6:05 BUS/JEEP
6:45 TRICYCLE
350.00

TOTAL P 1,000.00
Prepared by :

I certify that : (1) I have reviewed the foregoing LORETA M. VINCULADO


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

INOCENCIA C. MAÑAOL LEONARDO D. ZAPANTA, Ed.d.,CESO VI


Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
Document Code: SDO-QF-OSD-PER-072
Republic of the Philippines
Region III Revision: 00
Schools Division Office of Pampanga
Effectivity date: MAY 08, 2018
Name of Office:
PERSONNEL LOCATOR SLIP PERSONNEL

CERTIFICATE OF APPEARANCE:
I hereby certify that the requesting
DESTINATION Note: For personal business state reason personnel appeared in this office on
and place Official Business.
Purpose ____OB __Personal Authorized Signature Date

___ Division Office

___ Regional Office

___ BIR _________________________________

___ GSIS _________________________________

___ PHILHEALTH _________________________________

___ OTHERS _________________________________

_________________________________

_________________________________

Requested by: Approved by:


TIME:
Name / Signature
Departure
Arrival Name / Signature
Date

One DepEd… One Pampanga


Document Code: SDO-QF-OSD-PER-072
Republic of the Philippines
Region III Revision: 00
Schools Division Office of Pampanga
Effectivity date: MAY 08, 2018
Name of Office:
PERSONNEL LOCATOR SLIP PERSONNEL

CERTIFICATE OF APPEARANCE:
I hereby certify that the requesting
DESTINATION Note: For personal business state reason personnel appeared in this office on
and place Official Business.
Purpose ____OB __Personal Authorized Signature Date

___ Division Office

___ Regional Office

___ BIR _________________________________

___ GSIS _________________________________

___ PHILHEALTH _________________________________

___ OTHERS _________________________________

_________________________________

_________________________________

Requested by: Approved by:


TIME:
Name / Signature
Departure
Arrival Name / Signature
Date

One DepEd… One Pampanga

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