Revised January 1992

Date
ITINERARY OF TRAVEL
12-Feb-18
Name Position Admin&Operation Monthly Salary
Clerk/Petty Cash
Custodian/Logistics &
FO1 Jenifer A Milan Supply NCO P 29,668.00
Official Station Bacong Fire Satation Residence West Balabag,Valencia
Neg. Or.
Purpose of Travel >Attend the Two Day Training/Workshop on the Five New BFP Information
Systems at Golden Prince Hotel and Suites, Acacia St.,Cebu City
Places to be visited (Destination) Time Means of Traveling Allowance
Date
Departure Arrival Transportation
7-Feb-18 Bacong to Dumaguete Port 0900PM 0930PM Jeepney 50.00
Dumaguete Port-Cebu City Port 1200PM 0600AM Sea Vessel 325.00
8-Feb-18 Cebu City Port-Golden Prince 0600AM 0630AM Jeepney 50.00
Cebu City Per Diem 650.00
9-Feb-18 Cebu City Per Diem 650.00

9-Feb-18 Cebu-Liloan Port 0600PM 1000PM CERES LINER 200.00

Liloan-Sibulan Port 1000PM 1030PM Sea Vessel 70.00
Sibulan-Dumaguete 1030PM 1100PM Jeepney 50.00

TOTAL 2,045.00
I certify that: (1) I have reviewed the foregoing itenerary, (2) the Prepared by:

travel is necessary to the service, (3) the period covered is reasonable and
FO1 Jenifer A Milan
(4) the expenses claimed are proper.
Approved by:

FO1 Jenifer A Milan, BFP

SFO4 Willard V Dante
Admin&Operation Clerk/Petty Cash Custodian/Logistics & Supply NCO Municipal Fire Marshal
NOTE;

per diem P800 800 650

Arrival:
Departure
Before 12nn 30% 240 195
After 12nn 40% 320 260

800 650
hotel/lodging 50% 400 325 400
meals 30% 240 195 90
incidental 20% 160 130 160

1. Prepared by : the PAYEE/ Official Employee

2. Supervisor: If the Payee is the MFM/CFM the PFM is the Signatory. If the
PFM is the Signatory the C, Admin is the Signatory.

3. If the mode of transportation is by BUS,AIRPLANE,BOAT,SHIP other than

Private Vehicle that issue tickets, tickets/RER shall be attached and included
in ITENERARY of Travel.
 (Agency)

CERTIFICATE OF TRAVEL COMPLETED

(Station)
12-Feb-18
(Date)

I CERTIFY THAT I have completed the travel authorized in itinerary of

Travel No.TVL-__________________, dated______________, under conditions

► Strictly in accordance with the appoval itenerary.

Cut short as explained below. Excess in the amount of
P_____________, was refunded under O.R. No. __________, dated
__________________.

Extended as explained below. Additional itenerary was submitted.

Other deviations as explained below.

Explanation or justifications:

Evidences of travel:

► Used tickets
► Certificate of appearance
Others:

Respectfully submitted:

Admin & Operation Clerk

On evidence and admission of which I have knowledge, the travel was

actually undertaken.

Head Of Office