240 = 3 Meals @ P80/meal 160 = Incidental Expense 400 = Lodging 800

1 meal

2 meals

3 meals

= 80 = 160 = = 240

160 160 400 720

240 160 400 800

Republic of the Philippines Department of Social Welfare and Development September 4, 2012
Date

ITINERARY OF TRAVEL
Name : KRIZEL MARY B. CASTROVERDE Position : Social Welfare Assistant Purpose of Travel : Transmittal and Retrieval of CV-F2 & F3
TIME Dep
8:30 AM 8:45 AM 8:00 AM 9:00 AM 10:00 AM 10:40 AM 11:00 AM 11:45 AM 9:00 AM 9:15 AM 9:40 AM 9:55 AM 10:15 AM 10:45 AM 6:30 AM 6:30 AM 8:00 AM 8:15 AM 9:00 AM 9:30 AM 9:45 AM 10:00 AM 9:30 AM 9:40 AM i 9:50 AM 10:20 AM 10:30 AM 10:50 AM 11:30 AM 9:00 AM 9:40 AM 10:30 AM 11:00 AM 11:30 AM 2:00 PM 2:30 PM

P 13, 833.00 Tacloban City

Date
7-Aug-12

Places to be visited
Station to CHO CHO to Station

Arrival
8:35 AM 8:50 AM *:45 AM 9:30 AM 10:30 AM 10:50 AM 11:20 AM 12:00 PM 9:05 AM 9:30 AM 9:45 AM 10:00 AM 10:20 AM 11:00 AM 8:00 AM 8:00 AM 8:05 AM 8:40 AM 9:15 AM 9:35 AM 9:50 AM 10:20 AM 9:35 AM 9:45 AM 10:15 AM 10:45 AM 10:40 AM 11:20 AM 11:45 AM 9:30 AM 10:05 AM 10:50 AM 11:05 AM 11:50 AM 2:15 PM 2:45 PM

Means of Transpo.
Motorcycle Motorcycle Special trip Hired motorcycle Hired motorcycle Multicab Hired motorcycle Hired motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Bus Bus Motorcycle Hired motorcycle Multicab Multicab Multicab Multicab Multicab Multicab Multicab Hired motorcycle Motorcycle Multicab Multicab Hired motorcycle Hired motorcycle Multicab Multicab Motorcycle Motorcycle Multicab

Allowable Expenses Transpo. Per Diem

8.00 20.00 60.00 20.00 20.00 8.00 20.00 20.00 8.00 8.00 8.00 8.00 8.00 14.00 50.00 100.00 8.00 60.00 20.00 20.00 8.00 20.00 8.00 8.00 8.00 20.00 8.00 8.00 8.00 60.00 20.00 20.00 8.00 14.00 14.00 14.00 800.00

8-Aug-12

Station to San Roque ES San Roque to Scandinavian ES Scandinavian ES to JEMCC JEMCC to Anibong ES Anibong ES to Seawall BHS Seawall BHS to Station

9-Aug-12

Station to Rizal CS Rizal CS to Kapangi-an CS Kapangi-an CS to Light & Life Learning Center Light & Life Learning Center to Liceo Liceo del Verbo Divino to City CS City CS to Station

10-Aug-12 Station to Barugo

Barugo to Station 23-Aug-12 Station to City Health Office City Health Office to San Roque ES San Roque ES to Scandinavian ES Scandinavian ES to JEMCC JEMCC to Anibong ES Anibong ES to Station 24-Aug-12 Station to San Fernando CS San Fernando CS to Liceo del Verbo Divino Liceo del Verbo Divino to Light and Life LC Light & Life Learning Center to Station 27-Aug-12 Station to Rizal CS Rizal CS to JEMCC JEMCC to Station 28-Aug-12 Station to San Roque ES San Roque ES to Scandinavian ES Scandinavian ES to JEMCC JEMCC to Anibong ES Anibong ES to Station Station to Liceo del Verbo Divino Liceo del Verbo Divino to Station

29-Aug-12

Station to Rizal CS Rizal CS to San Roque ES San Roque ES to Scandinavian ES Scandinavian ES to JEMCC JEMCC to Anibong ES Anibong ES to Liceo del Verbo Divino Liceo del Verbo Divino to City CS City CS to Panalaron ES Panalaron ES to Cirilo Roy Montejo Cirilo Roy MNHS to Station

9:40 AM 10:05 AM 10:20 AM 10:30 AM 9:00 AM 9:20 AM 10:00 AM 10:30 AM 11:05 AM 11:30 AM 8:30 AM 9:00 AM 9:30 AM 9:50 AM 10:30 AM 10:50 AM 11:30 AM 9:00 AM 10:00 AM 10:55 AM

9:55 AM 10:10 AM 10:30 AM 10:35 AM 9:10 AM 9:45 AM 10:20 AM 10:55 AM 11:08 AM 11:40 AM 8:35 AM 9:05 AM 9:35 AM 10:00 AM 10:35 AM 11:00 AM 11:45 AM 9:05 AM 10:05 AM 11:10 AM TOTAL

Multicab Multicab Multicab Multicab Multicab Multicab Multicab Motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Motorcycle Hired motorcycle Hired motorcycle Motorcycle Motorcycle Motorcycle

20.00 8.00 8.00 8.00 8.00 20.00 20.00 14.00 8.00 8.00 8.00 8.00 8.00 14.00 8.00 20.00 20.00 8.00 8.00 8.00

30-Aug-12

Station to Rizal CS
Rizal CS to City CS City CS to Kapangi-an CS Kaoangi-an CS to Panalaron ES Panalaron ES to Cirilo Roy Montejo NHS CRMNHS to Seawall BHS Seawall BHS to Station

31-Aug-12

Station to Rizal CS Rizal CS to Cirilo Roy Montejo Nat'l HS CRMNHS to Station

966.00

800.00

I certify that:
(1) (2) (3) (4)

Prepared by: KRIZEL MARY B. CASTROVERDE Social Welfare Assistant

I have reviewed the foregoing itinerary The travel is necessary to the service The period covered is reasonable The expenses claimed are proper

NESTOR B. RAMOS ARD, Deputy Program Manager APPROVED:

LETICIA T. DIOKNO
Regional Director

ber 4, 2012

Date

00 acloban City

Total Amount
8.00 20.00 60.00 20.00 20.00 8.00 20.00 20.00 8.00 8.00 8.00 8.00 8.00 14.00 850.00 100.00 8.00 60.00 20.00 20.00 8.00 20.00 8.00 8.00 8.00 20.00 8.00 8.00 8.00 60.00 20.00 20.00 8.00 14.00 14.00 14.00

20.00 8.00 8.00 8.00 8.00 20.00 20.00 14.00 8.00 8.00 8.00 8.00 8.00 14.00 8.00 20.00 20.00 8.00 8.00 8.00

1,766.00

ROVERDE tant

KNO

or

Annex A1

Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Magsaysay Boulevard, Tacloban City

OBLIGATION REQUEST
PAYEE OFFICE ADDRESS Responsibility Center

No.

KRIZEL MARY B. CASTROVERDE DSWD FO 8 Tacloban City

PARTICULARS P.P.A.

Account code

Amount

To obligate reimbursement of travelling expenses while on official travel on August 7-31, 2012 in the amount of . . . .

1, 766

TOTAL
A. Certified
Charge to appropriate/allotment necessary, lawful and under my direct supervision. Supporting documents valid, proper and legal

1, 766

B. Certified
Appropriation/Allotment available and obligated for the purpose as indicated above.

Signature Printed Name Position Date

LETICIA T. DIOKNO Regional Director
Head, Requesting Office/Authorized Representative

Signature Printed Name Position Date

JASMIN BULGADO BUDGET OFFICER 1
Head, Budget Unit/Authorized Representative

Annex B

DISBURSEMENT VOUCHER
Mode of Payment Payee Address MDS Check

Republic of the Philippines DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT Magsaysay Boulevard, Tacloban City No. Commercial Check
408-724-367 Responsibility Center Office/Unit/Project Code

ADA

Others
OR/BUR No.

KRIZEL MARY B. CASTROVERDE Tacloban City

EXPLANATION

TIN/Employee No.

4Ps
AMOUNT

To reimburse traveling expenses incurred while on official travel on August 7-31, 2012 in the amount of . . . . . . . .

1, 766

A. Certified
Cash available Subject to Authority to Debit Account (when applicable) Supporting documents complete

B.

Approved for Payment

Signature Printed Name Position

MARY AGNES S. PUSAY Regional Accountant

Head, Accounting Unit/Authorized Representative

Signature Printed Name Position Date

LETICIA T. DIOKNO Regional Director, DSWD

Agency Head/Authorized Representative

Date C. Received Payment Check/ADA No. Date Signature Date Official Receipt/Other Documents

JEV No. Bank Name Printed Name Date

APPENDIX B

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT (Agency) CERTIFICATE OF TRAVEL COMPLETED

LETICIA T. DIOKNO Regional Director

DSWD FO 8 (Station)

I CERTIFY that I have completed the travel authorized in Itinerary of Travel No. ______ dated __________________ under conditions indicated below: / X / Strictly in accordance with the approved itinerary / / Cut short as explained below. Excess payment in the amount of Ps.______________ was refunded under O.R. No. _____________ / / Other deviations as explained below Explanations or Justifications: ____________________________________________________ _____________________________________________________________________________ Evidence of travel attached hereto: Certificate of Appearance , Travel Order, Fare Matrix, Tickets

Respectfully submitted:

KRIZEL MARY B. CASTROVERDE

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

NESTOR B. RAMOS ARD, Deputy Program Manager

GENERAL FORM NO. 2 REVISED JANUARY 1992

GENERAL FORM NO. 2 REVISED JANUARY 1992

REIMBURSEMENT EXPENSE RECEIPT

Date No. Date

REIMBURSEMENT EXPENSE RECEIPT

No.

RECEIVED from
(Name)

RECEIVED from
(Name)

the amount
(Official Designation) (Official Designation)

the amount of
(In Words)

of
(In Words)

(P
(In Figures)

(P
(In Figures)

in payment for
(Payments for subsistence, services, rental or transportation should show inclusive dates, purpose, distance, inclusive points of travel, etc.)

in payment for
(Payments for subsistence, services, rental or transportation should show inclusive dates, purpose, distance, inclusive points of travel, etc.)

PAYEE Name / Signature Address Comm. Tax Cert. No. Date of Issue Place of Issue WITNESS Name / Signature Address Comm. Tax Cert. No. Date of Issue Place of Issue Name / Signature Address Comm. Tax Cert. No. Date of Issue Place of Issue Name / Signature Address Comm. Tax Cert. No. Date of Issue Place of Issue

PAYEE

WITNESS

Date

CERTIFICATION
TO WHOM IT MAY CONCERN: THIS IS TO CERTIFY that there are no service providers in the Municipality of ___________________________. This further certifies that receipts for the following expenses incurred during my travel : Php 80 per meal, Php 400 for lodging and Php 160 for incidental expenses cannot be attached since the establishment for which I availed of those services has no Official Receipt (OR).

KRIZEL MARY B. CASTROVERDE Social Welfare Assistant

Date

CERTIFICATION
TO WHOM IT MAY CONCERN: THIS IS TO CERTIFY that there are no service providers in the Municipality of ___________________________. This further certifies that receipts for the following expenses incurred during my travel : Php 80 per meal, Php 400 for lodging and Php 160 for incidental expenses cannot be attached since the establishment for which I availed of those services has no Official Receipt (OR).

REX BENEDICT S. CALO

PEO II