Department of Education

Region V
DIVISION OF MASBATE
Masbate Province
Rodeo Road, Masbate City

ITINERARY OF TRAVEL

NAME: MICHELLE R. ILAGAN POSITION TEACHER I

SALARY: 27,000.00 STATION MATIPORON INTEGRATED SCHOOL

PURPOSE OF TRAVEL: TO ATTEND INDUCTION PROGRAM FOR BEGINNER TEACHERS

ALLOTMENT EXPENSES
T I M E Means of
Date Place to be Visited Trans- Per
Transportation
Departure Arrival portation diems
MATIPORON I/S TO CROSSING
09/25/2024 6:30 AM 6:50 AM TRICYCLE 30.00
TAWAD
CROSSING TAWAD TO KALINAW
09/25/2024 7:00 AM 7:50 AM VAN 200.00 300.00
BEACH PARK
KALINAW BEACH PARK TO
09/27/2024 8:00 AM 8:50 AM VAN 200.00 300.00
CROSSING TAWAD
CROSSING TAWAD TO
09/27/2024 8:50 AM 9:00 AM TRICYCLE 30.00
MATIPORON I/S

TOTAL 460.00 600.00

I HEREBY CERTIFY that I have received the foregoing itinerary of travel as necessary to the service
the period is reasonable. Purpose of the claim are proper.
 MICHELLE R. ILAGAN
Employee
Noted:

LEAH M. GUALVEZ
School Head
 APPENDIX 20

N INTEGRATED SCHOOL

TOTAL
AMOUNT

30.00

500.00

500.00

30.00

-
-

-
-
-

-
-
1,060.00

necessary to the service

 Department of Education
Region V
DIVISION OF MASBATE
Masbate
DepED-Division Office, Masbate
(Agency)
APPENDIX 21

CERTIFICATE OF TRAVEL COMPLETED

RAYMUNDO M. CANTONJOS CESO VI DepED, Division of Masbate

(Agency Head) (Station)

Schools Division Superintendent 08/27/2024

(Position) (Date)

I certify that I have completed the travel authorized in Itinerary of Travel

dated 07/30/23 to 08/03/23 under conditions indicated below.

P Strictly in accordance with the approved itinerary.

Cut short as explained below. Excess payment in the amount of P_______________

was refunded under O. R. No. ____________ dated _____________________.

Extended as explained below, additional itinerary was submitted.

Other deviation as explained below.

Explanation or justification: Travel Completed.

Evidence of travel:

P Used tickets

P Certificate of Appearance

P Others:

Respectfully submitted:

MICHELLE R. ILAGAN
Employee

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

LEAH M. GUALVEZ
School Head
Immediate Supervisor
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
REGION V
DIVISION OF MASBATE

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001- dated June 19, 2017
Name of Employee MICHELLE R. ILAGAN Employee
No.
Office MATIPORON INTEGRATED SCHOOL
Division DIVISION OF MASBATE
Particulars Amount ((₱)

TOTAL 0.00
Purpose:
as stated in the attached memo and certificate of apeparance

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose that above goods and services
were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statements is punishable by law.
Certified Correct: Noted By:
Signature:
Printed Name:
MICHELLE R. ILAGAN LEAH M. GUALVEZ
Employee School Head
Date Date
 Appendix 32
Republic of the Philippines Fund Cluster :
Department of Education
Region V
DIVISION OF MASBATE
Masbate City
Date :
DISBURSEMENT VOUCHER DV No. :

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee MICHELLE R. ILAGAN
=cenrr!H8

Address DIVISION OF MASBATE, RODEO ROAD, MASBATE CITY

Particulars Responsibility Center MFO/PAP Amount

To reimburse travel expenses incurred while on official travel 1,060.00
as per supporting papers attached in the amount of…

Amount Due 1,060.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

LEAH M. GUALVEZ
School Head

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. AApproved for Payment:

Cash available

Subject to Authority to Debit Account (when applicable)

SupSupporting documents complete and amount claimed

proper

Signature Signature

Printed
Printed Name
Name <input> RAYMUNDO M. CANTONJOS CESO VI

Position Senior Bookkeeper Position Schools Division Superintendent

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :

Official Receipt No. & Date/Other Documents

 Appendix 11
OBLIGATION REQUEST AND STATUS
Rebublic of the Philippines
Department of Education
Region V Serial No. :
DIVISION OF MASBATE Date:
Rodeo Road, Masbate City Fund Cluster: 101

Payee MICHELLE R. ILAGAN

Office MATIPORON INTEGRATED SCHOOL

Address Masbate

UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code
To reimburse travel expense incurred while on 1,060.00
official travel as per supporting papers attached
in the amount of …

Total 1,060.00
Charges to appropriation/alloment
A. B.
Certified: are Certified: Allotment available and
necessary, lawful and under my direct supervision obligated for the purpose/adjustment
and supporting documents valid, proper and legal necessary as indicated above

Signature : Signature :

Printed Name: LEAH M. GUALVEZ Printed Name: RONELITO A. BASAS, CPA

Position : School Head Position : Administrative Officer V (Budget)

Date : Date :

C. STATUS OF OBLIGATION
Reference Amount
Balance
Obligation Payable Payment Due and
ORS/JEV/Check/
Date Particulars Not Yet Due
Demandab
ADA/TRA No.
le
(a) (b) (c) (a-b) (b-c)