Вы находитесь на странице: 1из 10

TA Form-2

LIQUIDATION REPORT No.:


BUREAU OF FIRE PROTECTION Date:
Agency Responsibility Center:
Code:
PARTICULARS AMOUNT

Reimbursement of transportation expenses for the perio of 01 March to


01 April 2016 as per attached summary of Transportation expenses (TA Form-3) . . . . . . . . . . . .Php
... 1,115.00

TOTAL AMOUNT SPENT Php 1,115.00


AMOUNT OF CASH ADVANCE PER _______DTD ________ Php -
AMOUNT REFUNDED PER OR NO. _______DTD ________ Php -
AMOUNT TO BE REIMBURSED Php 1,115.00
A Certified: Correctness of the B Certified: Purpose of travel C Certified: Supporting documents
above data duly accomplished complete and proper

SFO2 Rudito G Alonsagay SFO2 Aldrien T Argamosa SINSP REYNALDO F PANGANIBAN, BFP
Liason Officer Station Finance Municipal Fire Marshal
Pateros Fire Station Pateros Fire Station Pateros Fire Station JEV No.
TA Form-3

Summary of Transportation Expenses

Pateros Fire Station


Station
FDIV-NCR
Provincial/Regional

For the Period 01 March to 01 April 2016

Total Transportation
Nr. Date Purpose of Travel
Expense
1 01-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
2 02-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 Php 115.00
3 04-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
4 07-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
5 09-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
6 11-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
7 14-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
8 16-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
9 18-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
10 21-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
11 23-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
12 28-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ 30.00
DHQ to ORD-NCR 37.50
ORD-NCR to Pateros FS 47.50 115.00
13 30-Mar-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
14 01-Apr-16 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
Total . . . . . . . . . . . . . . . . . . . . . . Php 1,115.00

Prepared by: Verified Correct: Reviewed by:

3
Total Transportation
Nr. Date Purpose of Travel
Expense

Rudito G Alonsagay Aldrien T Argamosa REYNALDO F PANGANIBAN


SFO2 BFP SFO2 BFP SINSP BFP
Liason Officer Station Finance Municipal Fire Marshal

4
Transportation

5
Transportation

O F PANGANIBAN
BFP

6
TA Form-3

Summary of Transportation Expenses

Pateros Fire Station


Station
FDIV-NCR
Provincial/Regional

For the Period 01 March to 01 April 2017

Total Transportation
Nr. Date Purpose of Travel
Expense
1 01-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
2 02-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
3 06-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
4 07-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
5 09-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
6 10-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
7 13-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
8 15-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
9 16-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
10 17-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
11 20-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ (vice versa) 60.00
12 22-Mar-17 Transmit and Pick-up Documents
Pateros to DHQ 60.00
13 24-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
14 27-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
15 30-Mar-17 Transmit and Pick-up Documents
Pateros to ORD-NCR 60.00
Total . . . . . . . . . . . . . . . . . . . . . . Php 900.00

Prepared by: Verified Correct: Reviewed by:

Marco O Arpon Artemio B Bertuldes Jr. REYNALDO F PANGANIBAN


FO2 BFP SFO4 BFP SINSP BFP
NCOIC SAO/Logistics C, Admin / Personnel Municipal Fire Marshal
sportation

ANGANIBAN
BFP
Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF FIRE PROTECTION
Pateros Fire Station, FDIV-NCR

TRAVEL ORDER TRAVEL ORDER NO. ADM-2016-12-001

TRAVELER'S NAME TRAVELER'S DESIGNATION


OFFICE SECTION
PURPOSE/JUSTIFICATION:

ITINERARY:

Date of Travel
I certify that the information given above are true and You are hereby authorized to travel to the distinated
correct. place stated above on the case Appearing on this travel
order. An accomplished Certificate of Appearance is to be
presented upon your return.

_____________________________________ _____________________________________
PRINTED NAME AND SIGNATURE SFO4 Artemio B Bertuldes Jr.
OF REQUESTING PERSONNEL Chief Admin

Republic of the Philippines


DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF FIRE PROTECTION
Pateros Fire Station, FDIV-NCR

TRAVEL ORDER TRAVEL ORDER NO. ADM-2016-12-001

TRAVELER'S NAME TRAVELER'S DESIGNATION


OFFICE SECTION
PURPOSE/JUSTIFICATION:

ITINERARY:

Date of Travel
I certify that the information given above are true and You are hereby authorized to travel to the distinated
correct. place stated above on the case Appearing on this travel
order. An accomplished Certificate of Appearance is to be
presented upon your return.
_____________________________________ _____________________________________
PRINTED NAME AND SIGNATURE SFO4 Artemio B Bertuldes Jr.
OF REQUESTING PERSONNEL Chief Admin