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School Principal Itinerary

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Department of Education

DIVISION OF LANAO DEL NORTE


Pigcarangan, Tubod, Lanao del Norte
KAPATAGAN DISTRICT
APPENDIX A
Itinerary of Travel No. 2022-12
Name of Employee RONIE A. DOMINGUEZ Expenses at Glance
Monthy Salary Total Trip Days 5 DAYS
Tax Identification Number (T.I.N.) Transpo Expenses 1,120.00
Start on November 6, 2022 Registration -
Trip Date
End on November 10, 2022 Per Diem 3,600.00
ATTEND 3-DAY LIVE-IN TRAINING-WORKSHOP ON THE PREPARATION OF Communication Allowance -
Purpose
BUDGET EXECUTION DOCUMENTS (BEDs) FOR FISCAL YEAR 2023 Total Trip Expenses 4,720.00
DESTINATION EXPENSES
Time Total
Date From(Origin) To (Destination Means Transpo PER DIEM
DEPARTURE ARRIVAL

KAPATAGAN TERMINAL ILIGAN TERMINAL 7:30 A.M. VAN 160.00

11/06/22 ILIGAN TERMINAL BULUA TERMINAL, CDO VAN 200.00 720.00 1,280.00

BULUA TERMINAL, CDO HOTEL CONCHITA, CDO 2:00 P.M. TAXI 200.00

11/07/22 HOTEL CONCHITA, CDO 360.00 360.00

11/08/22 HOTEL CONCHITA, CDO 360.00 360.00

11/09/22 HOTEL CONCHITA, CDO 1,440.00 1,440.00

HOTEL CONCHITA, CDO BULUA TERMINAL, CDO 8:00 A.M. TAXI 200.00

11/10/22 BULUA TERMINAL CDO ILIGAN TERMINAL VAN 200.00 720.00 1,280.00

ILIGAN TERMINAL KAPATAGAN TERMINAL 12:30 P.M. VAN 160.00

TOTAL 1,120.00 3,600.00 4,720.00

1) 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.
RONIE A. DOMINGUEZ
ESP-I (DONGGO-AN ES)

Recommending Approval:

ROSEMARIE T. MACESAR, Ph.D.


ASSISTANT SCHOOLS DIVISION SUPERINTENDENT

Noted & Approved by:

EDILBERTO L. OPLENARIA, CESO V


SCHOOLS DIVISION SUPERINTENDENT
Department of Education
Region X Northern Mindanao
Division of Lanao del Norte
Pigcarangan, Tubod, Lanao del Norte
KAPATAGAN WEST DISTRICT

Appendix B

CERTIFICATE OF TRAVEL COMPLETED

Date: November 14, 2022

I certify that I have completed the travel authorized in Itinerary of Travel No. 2022-12 dated November 6-
10, 2022 respectively under the conditions stated 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.

N/A
Explanation or justification:

Evidences of travel:
Used tickets
√ Certificate of attendance/appearance
Others: RER
Boarding pass
Terminal fees
Respectfully submitted:

NELJUN S. LANGGA
T-2(CARUSA IS)

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

Recommending Approval:

WINAH C. CAFINO
SCHOOL PRINCIPAL 1

Noted & Approved by:

EDILBERTO L. OPLENARIA, CESO V


SCHOOLS DIVISION SUPERINTENDENT
Department of Education
Region X – Northern Mindanao
DIvISION OF LANAO DEL NORTE
Pigcarangan, Tubod, Lanao del Norte
ANNEX A
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001- dated June 19, 2017
Name of Employee NELJUN S. LANGGA Employee No.
Station CARUSA INTEGRATED SCHOOL District Kapatagan District
Division Division of Lanao del Norte
Date Particulars Amount ((₱)
11/06/22 Fare: KAPATAGAN TERMINAL TO ILIGAN TERMINAL 160.00

Fare: ILIGAN TERMINAL TO BULUA TERMINAL 200.00

Fare: BULUA TERMINAL TO HOTEL CONCHITA, CDO 200.00

11/10/22 Fare: HOTEL CONCHITA TO BULUA TERMINAL, CDO 200.00

Fare: BULUA TERMINAL, CDO TO ILIGAN TERMINAL 200.00

Fare: ILIGAN TERMINAL TO KAPATAGAN TERMINAL 160.00

TOTAL 1,120.00
Purpose
Reimbursement of Travel Expenses (ATTEND 3-DAY LIVE-IN TRAINING-WORKSHOP ON THE PREPARATION OF BUDGET
EXECUTION DOCUMENTS (BEDs) FOR FISCAL YEAR 2023)
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose that above goods and
services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statements is
punishable by law.
Certified Correct: Approved By:
Signature:
NELJUN S. LANGGA WINAH C. CAFINO
Printed Name:
T-2 (CARUSA IS) SCHOOL PRINCIPAL 1
Date Date

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