APPENDIX “B”
Republic of the Philippines
Province of Cagayan
MUNICIPALITY OF AMULUNG
BARANGAY __________________________
HON._____________________ BLGU-________________
( Head of Agency) (Station)
Punong Barangay ____________
( Designation) ( Date)
I CERTIFY that I have completed travel I authorized in the itinerary of travel for the
month of June _______ to June_______ 2024.
Under conditions indicated below:
______________ Strictly in accordance with the approved itinerary.
______________ Cut short as explained below. Excess payment in the amount of
______________ was refined on O.R. No. ________ dated ____________.
EXPLANATION OR JUSTIFICATION:
See attached approved travel order and certificate of appearance and Appendix A.
Evidence of travel attached
Hereto: Travel Order/Certificate of Appearance/Appendix A & B etc.
Respectfully submitted:
_____________________
Barangay Secretary
Reviewed by:
____________________
Punong Barangay
On evidence and information of which I have acknowledged the travel were actually
undertaken.
Approved by:
HON. _________________
Punong Barangay
Republic of the Philippines
Province of Cagayan
Municipality of Amulung
APPENDIX - A
NAME
POSITION BARANGAY SECRETARY
PURPOSE OF TRAVEL SEE ATTACHED TRAVEL ORDER/CERTIFICATE OF APPEARANCE
DATE PLACE TO BE TIME Means of Trans per
VISITED
Departure Arrival transportation transportation diems Total
expense
Amulung -Tug.
City 6:00am van/tricy 100.00 100.00
Tug. City-
Baguio 7:30pm 6:00am Bus 1,435.00 1800.00 3,235.00
Taxi 200.00 200.00
still in Baguio 1200.00 1200.00
Still in Baguio 1200.00 1200.00
Hotel in
Baguio -
Terminal 5:00 AM taxi 200 200
Bus Terminal -
Tuguegarao
City 6:00AM bus 1,435.00 1800.00 3,235.00
Tuguegarao
City-Amulung van/tricy 100.00 100.00
6,000.0
TOTAL 3,470.00 0 9,470.00
I HEREBY CERTIFY that (1) I have received the forgoing itinerary (2) the travel is necessary
to the service (3) for the period covered its reasonable (4) the expenses claimed are proper.
Prepared By:
Barangay Secretary
Approved By Punong Barangay:
Republic of the Philippines
Province of Cagayan
MUNICIPALITY OF AMULUNG
BARANGAY __________________________
TRAVEL ORDER 2024
Travel Order No._________________________
Name: _________________________________ DATE:_____________________
Division / Section: _______________________ POSITION: BRGY SECRETARY
Departure Date: _________________________ RETURNED DATE:_____________
Report to: BAGUIO CITY, PHILIPPINES OFFICIAL BUSINESS: ___________
Purpose of Trip: ATTEND BENCHMARKING ACTIVITY ON KP OFFICIAL TIME:_______________
Per diems/Expenses: ____________________________________________________________
Assistants of labor allowed: ______________________________________________________
First Land
Second Class Water Transportation is hereby authorized
Appropriation to which travel expenses should be charged
Applied by: Approved by:
____________________________ _____________________________
Barangay Secretary Punong Barangay
