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Republic of the Philippines Document Code: SDOZAMBS-GQF-

Department of Education 009


Region III
SCHOOLS DIVISION OF ZAMBALES Revision: 01
Zone 6, Iba, Zambales
Tel./Fax No. (047) 602 1391 Effectivity date: 08-01-2019
E-mail Address: zambales@deped.gov.ph
website: www.depedzambales.ph
Name of Office:
ITINERARY OF TRAVEL Schools Division Office
COMPLETED

APPENDIX A
August 22, 2019
Date

ITINERARY OF TRAVEL

Name: DIVINA GRACIA G. DELA CRUZ Purpose of Travel: On official


business
Position: Teacher 1
Official Station: Laoag Integrated School

Time Means of Allowance Total


Date Places visited Departur Transportatio Transportatio
Arrival n Per Diem Amount
e n

Laoag IS, San Marcelino, Tricyle P15.00


Zambales to ZTTC, Iba 6:15am 7:30am
8/22/19 Victory Liner Bus P104.00
Zambales and back 5:00pm 6:10pm UV EXPRESS P80.00 P214.00
Tricycle P15.00

-
-

P214.0
TOTAL 0

Certified Correct: Prepared by:

I CERTIFY THAT (1) I have reviewed the


foregoing itinerary; (2) the travel is DIVINA GRACIA G. DEL CRUZ
necessary to the service; (3) the period Teacher 1
covered is reasonable; and (4) the
expenses claimed are proper.
Approved:
Recommending Approval

MA. LOTA G. FIGUEROA TRISTAN JAY V. FULGUERAS


Admin. Assistant II School Principal IV

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Republic of the Philippines Document Code: SDOZAMBS-GQF-
Department of Education 009
Region III
SCHOOLS DIVISION OF ZAMBALES Revision: 01
Zone 6, Iba, Zambales
Tel./Fax No. (047) 602 1391 Effectivity date: 08-01-2019
E-mail Address: zambales@deped.gov.ph
website: www.depedzambales.ph
Name of Office:
ITINERARY OF TRAVEL Schools Division Office
COMPLETED

APPENDIX B

CERTIFICATE OF TRAVEL COMPLETED

August 22, 2019


Date

ROMEO M. ALIP, Ph.D., CESO V


Schools Division Superintendent

I hereby certify that I have completed the travel authorized under the condition
indicated below:

____/_____ Strictly in accordance with the approved itinerary


_________ Cut short as explained below. Excess payment in the amount of _________
was
refunded under O.R. No. ___________ dated _______________________.
_________Extended as explained below. Additional itinerary was submitted
_________ Other deviations as explained below.

Explanation or justification:
__________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Evidences of travel:
_______ Used tickets
_______ Certificate of Attendance
_______ Others: RER
Boarding Pass
Terminal fees

Respectfully submitted:

DIVINA GRACIA G. DELA CRUZ


Teacher 1

-----------------------------------------------------------------------------------------------------------------------------------------

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

APPROVED:

MA. LOTA G. FIGUEROA


Admin. Assistant II

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