APPENDIX A

January 31, 2008

ITINERARY OF TRAVEL

NAME: JOSE JEKERI P. TANINGCO MONTHY SALARY:

POSITION: LGOO V
OFFICIAL STATION: DILG GUINDULMAN
PURPOSE OF TRAVEL: Attend DILG Bi-Monthly Conference

MEANS
PLACES TO DEPARTU ARRIVA OF ALLOWABLE EXPENSES TOTAL
DATE PER
BE VISITED RE L TRANSPO TRANSPORTATI
ON
AMOUNT
RT DIEMS
January 15,
dilg opd 5:00 AM van 100.00 PhP 100.00
2008

9:00 PM van 100.00 200.00 300.00

January 23,
dilg opd 5:00 AM van 100.00 PhP 100.00
2008
9:00 PM VAN 100.00 200.00 300.00

T O T A L 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 JOSE JEKERI P. TANINGCO
to make inspection trips outside of duty station
duly approved by the Secretary. Approved by:

RUSTICA N. MASCARIÑAS RUSTICA N. MASCARIÑAS

Supervisor Provincial Director
 APPENDIX B

RUSTICA N. MASCARIÑAS DILG-Bohol

Provincial Director

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 No.:
MDS Check Commercial Check ADA Other Date:

Payee/Office: JOSE JEKERI P. TANINGCO TIN/Employee No.: OS/BUS No. :

Date:
Address: LGOO V Responsibility Center
Title : 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 : Signature :
Printed Name : JOSE RUBEN H. RACHO Printed Name : RUSTICA N. MASCARIÑAS
(Head, Accounting Unit/Authorized Representative) (Agency Head/Authorized Representative)
Position : AC-III Position : Provincial Director
Date : Date :

C. Received Payment D. Journal Entry Voucher

Check/ADA No.
Signature : Date : No.:
Bank Name : Date:
Printed Name : JOSE JEKERI P. TANINGCO OR. No./other relevant
document issued: