Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
Division of Leyte
INOPACAN DISTRICT
Inopacan, Leyte

###

Office Order
No.______ s. 2015

o : RAUL V. DOTOLLO
Teacher I
Hinabay Elementary School
Inopacan District
Inopacan, Leyte

Subject : Travel Order

1.
You are hereby authorized to travel on official business
in accordance with the following schedules and
objectives:
Place
Date
3Js Hotel, Hilongos, Leyte

January 26-30, 2016

The objective of the travel is:

2.
* To attend Division Multi-Grade Training Workshop

3.
Travel expenses incurred shall be charged against
School MOOE Funds subject to usual accounting and
auditing rules and regulations.
APPROVED:

DALIA P. RENOMERON
Head Teacher I

Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
Division of Leyte
INOPACAN DISTRICT
ITINERARY OF TRAVEL
No.

Date:

January 25, 2016

NAME:

RAUL V. DOTOLLO

Position:

Teacher I

Official Station:

Hinabay Elementary School

Residence:

Inopacan, Leyte

Purpose of Travel: To attend Division Multi-Grade Training Workshop

DATE

PLACES TO BE VISITED

January-16
26

30

Means of
TIME OF
Transportati
DEPARTURE ARRIVAL
on

EXPENSE

HabalHinabay ES - Poblacion,
Habal
2:00 PM 2:30 PM
Fare
Inopacan, Leyte
(Motorcycle
)
Inopacan, Leyte - 3Js
3:00 PM 3:25 PM V-Hire
Fare
Hotel Hilongos, Leyte
Hilongos, Leyte Poblacion, Inopacan,
2:30 PM 3:00 PM V-Hire
Fare
HabalLeyte
Poblacion, Inopacan Habal
3:20 PM 3:50 PM
Fare
Hinabay ES
(Motorcycle
)
TOTAL

I hereby certify that (1) I have Prepared by: (Official Employee)

reviewed the foregoing itinerary (2) the
travel is necessary for the service (3) the
period covered is reasonable, and (4) the
expenses claimed are proper.
RAUL V. DOTOLLO
Approved:
Teacher I

DALIA P. RENOMERON
Head Teacher I

TOTAL

Php35.00
50.00
50.00
35.00
###

Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
Division of Leyte
INOPACAN DISTRICT

CERTIFICATE OF TRAVEL COMPLETED

RONEO AL K. FIRMO, Ph.D., CEO V
Agency Head

Leyte Division
Station
January 31, 2016
Date

Schools Division Superintendent

Designation

I CERTIFY THAT I have completed the travel authorized in itinerary of travel no. _________________
dated
January 25, 2016
under conditions indicated below:
[ x ] Strictly in accordance with the approved itinerary
[

] Cut short as explained below. Excess payment in the amount of Php____________ was
refunded under O.R. No. _____________ dated ___________________

[
[

] Extended as explained below. Additional itinerary was submitted

] Other deviations as explained below.

Explained or justifications:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
____________________________________________________________________________________________
Evidences of Travel:
[ x ] Used Tickets
[ x ] Certificate of appearance
[ x ] Others _______RER__________________________
Respectfully submitted:

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

DALIA P. RENOMERON
Head Teacher I

______________

ndertaken.

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VIII (Eastern Visayas)
Division of Leyte
INOPACAN DISTRICT

DISBURSEMENT VOUCHER
Mode of
Payment

MDS Check

Commercial Check

Payee

RAUL V. DOTOLLO

Address:

Hinabay Elementary School

ADA

No. 2016-01-001
Others

TIN/Employee No.:

OR\BUR No.

Responsibility Center

Inopacan District, Inopacan, Leyte

Office/Unit/Project:

Code

Traveling Expenses-Local (751) 5 02 01 010 00

EXPLANATION

AMOUNT

TO REIMBURSEMENT FOR TRAVELING EXPENSES incurred while on

official travel for the attendance on the Division training workshop re: Multi-Grade
as per supporting papers attached in the amount of ............

Php170.00

Fund Source Code:

LSU-CDC
Certified:

Cash available

Subject to Authority to Debit Account (when applicable)

Supporting documents complete

Signature
Printed Name
Position

Approved for Payment:

Signature

RIGINO T. MACUNAY, JR.

Disbursing Officer
Head, Accounting Unit/Authorized Representative

Date
C

Php170.00

Printed Name
Position

DALIA P. RENOMERON
Head Teacher I

Agency Head/ Authorized Representative

Date
JEV No.

Received Paymen

Check/ADA No
Signature
Official Receipt/Other Documents

Date:
Date:

Bank Name
Printed Name

Date