Trip Ticket VJJ

Trip Ticket No.
EOMD _________________
DRIVER'S TRIP TICKET
A. To be filled by the Administrative Officials/authorizing officials:
1 . Name of driver of the vehicle : JOVALE E. DELGADO

2 . Government vehicle to be used : Mitsubishi Pajero, H1 3574/DDV 515/SCV 831
3 . Name of authorize passenger : FED Personnel
4 . Place or places to be visited : Region III
5 . Charge to project : A.3.a.3
6 . Purpose : Ocular Inspection Dredge Pinatubo I-B
RECOMMENDING APPROVAL:
APPROVED: By the Authority of the Secretary:
FERDINAND R. FUGABAN
Chief, Floating Equipment Division AMADOR A. ANDRADA
OIC, Assistant Bureau Director
To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.
JOVALE E. DELGADO
Date Driver
I hereby certify that I used this vehicle on official business.
DPWH EMPLOYEES
Date Passenger
This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________
1 . Name of driver of the vehicle : JOEL V. DURIAS

2 . Government vehicle to be used : TOYOTA HI. ACE VAN (H1-4956, ABE1178)
4 . Place or places to be visited : Regions III, Pampanga
6 . Purpose : For pooling vehicle, to conduct inspection.
TORIBIO NOEL L. ILAO

Director IV,Bureau of Equipment

TOTAL : liters
REMARKS:
April 16 - 20, 2018 JOEL V. DURIAS

Date Engineer IV
April 16 - 20, 2018 DPWH PERSONNEL

Date Passenger
MAN I LA
1 . Name of driver of the vehicle : NARCISO RABANILLO

2 . Government vehicle to be used : Bus, Kinglong SKU-166, H12-38
3 . Name of authorize passenger : FED & Cadet Engineers
4 . Place or places to be visited : DPWH Dredge PDDP II, Macabebe Pampanga
6 . Purpose : Dredge on-board training

TOTAL : liters
REMARKS:
NARCISO RABANILLO
Date Driver
FED & Cadet Engineers

Date Passenger

MAN I LA
1 . Name of driver of the vehicle : Engr. Jovale Delgado

2 . Government vehicle to be used : Motorcycle Honda HIO-29 (SD2949)
3 . Name of authorize passenger : Engr. Jovale Delgado
4 . Place or places to be visited : Metro, Manila
6 . Purpose : Service Vehicle
OSCAR O. ISIDRO
Chief, EOMD AMADOR A. ANDRADA

TOTAL : liters
REMARKS:
Engr. JOVALE DELGADO

Date Driver
Engr. JOVALE DELGADO

Date Passenger
MAN I LA
1 . Name of driver of the vehicle : ENGR. VICTOR J. JAVIER

2 . Government vehicle to be used : Isuzu Crosswind Wagon, H1-4284/SKT-915
3 . Name of authorize passenger : MED PERSONNEL
4 . Place or places to be visited : Metro Manila
6 . Purpose : For pooling vehicle; to conduct inspection.

TOTAL : liters
REMARKS:
VICTOR J. JAVIER
Date Engineer IV
FED PERSONNEL
Date Passenger

MAN I LA
Trip Ticket No. CESPD _________________
1 . Name of driver of the vehicle : ENGR. FERDINAND R. FUGABAN

2 . Government vehicle to be used : NISSAN TERRANO H1 5160-KCJ-925/ SKS 105
3 . Name of authorize passenger : FED PERSONNEL

TOTAL : liters
REMARKS:
JOEL V. DURIAS
Date DRIVER
Date Passenger

MAN I LA
1 . Name of driver of the vehicle : NOLI SERDEÑA

2 . Government vehicle to be used : PICK-UP NISSAN H1-4889/PLATE NO. SHG 903
3 . Name of authorize passenger : FED PERSONNEL
4 . Place or places to be visited : Sasmuan, Pampanga
6 . Purpose : Inspection and Evaluation of Dredge PDDP II
OSCAR O. ISIDRO

TOTAL : liters
REMARKS:
NOLI SERDEÑA
Date Driver
Date Passenger

MAN I LA
1 . Name of driver of the vehicle : Gregorio A. Cariaga, Jr.

2 . Government vehicle to be used : Mitsubishi Pajero, H1 3574/DDV 515/SCV 831
4 . Place or places to be visited : Metro, Manila
OSCAR O. ISIDRO

TOTAL : liters
REMARKS:
GREGORIO A. CARIAGA, JR.

Date Engineer IV
DPWH EMPLOYEES
Date Passenger
MAN I LA
1 . Name of driver of the vehicle : ENGR. VICTOR J. JAVIER

2 . Government vehicle to be used : Pick-Up, Mits. L200, H1-4284/SFW-102
3 . Name of authorize passenger : MED PERSONNEL
OSCAR O. ISIDRO

TOTAL : liters
REMARKS:
VICTOR J. JAVIER
Date Engineer IV
FED PERSONNEL
Date Passenger


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Trip Ticket No.

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : JOVALE E. DELGADO

APPROVED: By the Authority of the Secretary:

To be filled by the Driver:

I hereby certify that I used this vehicle on official business.

This form should be accomplished in Duplicate the Original of which is to be attached

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : JOEL V. DURIAS

APPROVED: By the Authority of the Secretary:

TORIBIO NOEL L. ILAO

To be filled by the Driver:

April 16 - 20, 2018 JOEL V. DURIAS

I hereby certify that I used this vehicle on official business.

April 16 - 20, 2018 DPWH PERSONNEL

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : NARCISO RABANILLO

To be filled by the Driver:

I hereby certify that I used this vehicle on official business.

FED & Cadet Engineers

This form should be accomplished in Duplicate the Original of which is to be attached

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : Engr. Jovale Delgado

APPROVED: By the Authority of the Secretary:

To be filled by the Driver:

Engr. JOVALE DELGADO

I hereby certify that I used this vehicle on official business.

Engr. JOVALE DELGADO

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : ENGR. VICTOR J. JAVIER

To be filled by the Driver:

I hereby certify that I used this vehicle on official business.

This form should be accomplished in Duplicate the Original of which is to be attached

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : ENGR. FERDINAND R. FUGABAN

To be filled by the Driver:

I hereby certify that I used this vehicle on official business.

This form should be accomplished in Duplicate the Original of which is to be attached

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : NOLI SERDEÑA

To be filled by the Driver:

I hereby certify that I used this vehicle on official business.

This form should be accomplished in Duplicate the Original of which is to be attached

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : Gregorio A. Cariaga, Jr.

APPROVED: By the Authority of the Secretary:

To be filled by the Driver:

GREGORIO A. CARIAGA, JR.

I hereby certify that I used this vehicle on official business.

DRIVER'S TRIP TICKET