APPENDIX A January 31, 2008
ITINERARY OF TRAVEL NAME:
JOSE JEKERI P. TANINGCO
POSITION:
LGOO V
MONTHY SALARY:
OFFICIAL STATION:
DILG GUINDULMAN
PURPOSE OF TRAVEL:
Attend DILG Bi-Monthly Conference
DATE January 15, 2008
MEANS ALLOWABLE EXPENSES PLACES TO DEPARTU ARRIVA OF TOTAL PER BE VISITED RE L TRANSPO TRANSPORTATI AMOUNT ON DIEMS RT 100.00 dilg opd 5:00 AM van PhP 100.00 9:00 PM
January 23, 2008
dilg opd
5:00 AM 9:00 PM
T
O
T
A
van
100.00
van
100.00
VAN
100.00
L
200.00
300.00 PhP 100.00
200.00
300.00
PhP
800.00
Prepared by: I certify 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 proper (5) authority to make inspection trips outside of duty station duly approved by the Secretary.
RUSTICA N. MASCARIÑAS Supervisor
JOSE JEKERI P. TANINGCO Approved by:
RUSTICA N. MASCARIÑAS Provincial Director
APPENDIX B RUSTICA N. MASCARIÑAS Provincial Director
DILG-Bohol
September 30, 2008 Date I CERTIFY that I have completed the travel authorized in Regional Order No. _ dated _ under condition indicated below. X
Strictly in accordance with the approved itinerary. Cut short and explained below. Excess payment in the amount of _ was refunded on O.R. _ dated _. Extended as explained. Other deviation as explained below.
Explanations or justifications:
Evidence of travel submitted hereto: Appendix A, Disbursement Voucher and Certificate of Appearance
Respectfully submitted:
JOSE JEKERI P. TANINGCO Employee
On evidence and information of which I have knowledge, the travel was actually undertaken.
RUSTICA N. MASCARIÑAS Supervisor
Republic of the Philippines Department of the Interior and Local Government
DISBURSEMENT VOUCHER MODE OF PAYMENT MDS Check
Commercial Check
Payee/Office:
JOSE JEKERI P. TANINGCO
Address:
LGOO V
ADA
TIN/Employee No.:
Title
No.: Date:
Other
:
OS/BUS No. : Date: Responsibility Center Code:
Particulars
Amount
For reimbursement of per diems and actual traveling expenses incurred while on official business for the month of September 2008 in the amount of . . . . . . . . . ............
Amount Due ---------->
A. Certified:
Supporting documents complete and proper
B. Approved Payment:
Cash available Subject to ADA (where applicable)
Signature Printed Name
: :
Signature Printed Name
JOSE RUBEN H. RACHO
: :
(Head, Accounting Unit/Authorized Representative)
: :
Position Date
C.
AC-III
Position Date
: :
Check/ADA No.
:
Printed Name
: JOSE JEKERI P. TANINGCO
Provincial Director
D. Journal Entry Voucher
Received Payment
Signature
RUSTICA N. MASCARIÑAS (Agency Head/Authorized Representative)
Date : Bank Name : OR. No./other relevant document issued:
No.: Date: