Appendix A
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APPENDIX "A" Date LGU - SAN JOSE Agency ITINERARY OF TRAVEL Name: Position: Official Station: Purpose:
Pablo delos Santos Punong Barangay Camagong, San Jose, Camarines Sur Please see attached approved travel order
Date 2008
Time Place to be Visited
Dec. 10 OS - Naga Naga-Manila Term.-Temp.Res. 11 to 13 In Manila Dec. 14 Temp. res.-terminal Mla-Naga Naga -OS
Departure
Arrival
Transp.
6am 8:30am
7am 6:30pm
Van Bus Taxi
6am 8:30am 6:30pm
7am 6:30pm 7:30pm
Taxi Bus Van
(2) Icertify that: (1) I have reviewed the foregoing Itinerary. (2) The travel is necessary to the service. (3) The period covered is reasonable (4) The expenses claimed are properly set forth.
Recommending Approval:
Allowable Expenses Per Diems/ Lodging Trans inc. exp. Exp. 80.00 700.00 160.00 200.00 2,400.00 200.00 700.00 160.00 80.00 Total
Total Amount 80.00 860.00 200.00 2,400.00 200.00 860.00 80.00 4,680.00
(1) Prepared by: PABLO DELOS SANTOS (Official or Employee)
APPROVED BY:
HON GILMAR S. PACAMARRA Municipal Mayor
DISBURSEMENT VOUCHER San Jose, Camarines Sur LGU CLASSIFICATION OF DISBURSEMENT MDS Check
Date:
Commercial Check
Other Payments
Name of Claimant: Address: Particulars
A
Certified Expsenses/Cash Advances necessary, lawful and, incurred under my direct supervision. Signature: Printed Name: Position: Received Payment
Signature Over Printed Name
B
Amount
Certified supporting documents complete and proper, and
C
Approved for Payment
Cash Available Subject to ADA IMELDA G. CABALLERO Municipal Accountant Payment
Check No.: Bank Name: Date:
GILMAR S. PACAMARRA
Head of Agency/Authorized Representative
OBS No. _____ Date: _________ JEV No.______ Date: _________
OBLIGATIONS SLIP (OBS)
No. Date:
Payee/Office Address: PARTICULARS
Account Code
Amount
TOTAL Requested by: Certified Charged to appropriation/allotment necessary lawful and under my direct supervision. HON. GILMAR S. PACAMARRA Municipal Mayor Date:
Funds Available: Certified: Appropriation/allotment available and obligated for purpose as indicateed above.
MARIKO LAURA F. MILANTE Municipal Budget Officer Date:
Pablo delos Santos Punong Barangay Camagong, San Jose, Camarines Sur Please see attached approved travel order
Date 2008
Time Place to be Visited
Dec. 10 OS - Naga Naga-Manila Term.-Temp.Res. 11 to 13 In Manila Dec. 14 Temp. res.-terminal Mla-Naga Naga -OS
Departure
Arrival
Transp.
6am 8:30am
7am 6:30pm
Van Bus Taxi
6am 8:30am 6:30pm
7am 6:30pm 7:30pm
Taxi Bus Van
(2) Icertify that: (1) I have reviewed the foregoing Itinerary. (2) The travel is necessary to the service. (3) The period covered is reasonable (4) The expenses claimed are properly set forth.
Recommending Approval:
Allowable Expenses Per Diems/ Lodging Trans inc. exp. Exp. 80.00 700.00 160.00 200.00 2,400.00 200.00 700.00 160.00 80.00 Total
Total Amount 80.00 860.00 200.00 2,400.00 200.00 860.00 80.00 4,680.00
(1) Prepared by: PABLO DELOS SANTOS (Official or Employee)
APPROVED BY:
HON GILMAR S. PACAMARRA Municipal Mayor
DISBURSEMENT VOUCHER San Jose, Camarines Sur LGU CLASSIFICATION OF DISBURSEMENT MDS Check
Date:
Commercial Check
Other Payments
Name of Claimant: Address: Particulars
A
Certified Expsenses/Cash Advances necessary, lawful and, incurred under my direct supervision. Signature: Printed Name: Position: Received Payment
Signature Over Printed Name
B
Amount
Certified supporting documents complete and proper, and
C
Approved for Payment
Cash Available Subject to ADA IMELDA G. CABALLERO Municipal Accountant Payment
Check No.: Bank Name: Date:
GILMAR S. PACAMARRA
Head of Agency/Authorized Representative
OBS No. _____ Date: _________ JEV No.______ Date: _________
OBLIGATIONS SLIP (OBS)
No. Date:
Payee/Office Address: PARTICULARS
Account Code
Amount
TOTAL Requested by: Certified Charged to appropriation/allotment necessary lawful and under my direct supervision. HON. GILMAR S. PACAMARRA Municipal Mayor Date:
Funds Available: Certified: Appropriation/allotment available and obligated for purpose as indicateed above.
MARIKO LAURA F. MILANTE Municipal Budget Officer Date:
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