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    Local Government Unit: Municipality of Kibawe

    Uploaded by

    Ellaine Grace Delima Gurro
    This document is a driver's trip ticket from the Municipality of Kibawa in the Province of Bukidnon, Philippines. It authorizes the travel of Municipal Mayor Minerva C. Casinabe to Malaybalay City for official business using government vehicle plate number BOONDOCK D-MAX, driven by Alner J. Lanutan. The form documents the vehicle and passenger details, travel times, fuel and supply usage, and is certified by both the driver and passenger for the official trip on June 29, 2019. Upon completion, one copy is filed with the monthly travel reports and one with the relevant bureau or office.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Local Government Unit: Municipality of Kibawe

    Uploaded by

    Ellaine Grace Delima Gurro
    83 views2 pages
    This document is a driver's trip ticket from the Municipality of Kibawa in the Province of Bukidnon, Philippines. It authorizes the travel of Municipal Mayor Minerva C. Casinabe to Malaybalay City for official business using government vehicle plate number BOONDOCK D-MAX, driven by Alner J. Lanutan. The form documents the vehicle and passenger details, travel times, fuel and supply usage, and is certified by both the driver and passenger for the official trip on June 29, 2019. Upon completion, one copy is filed with the monthly travel reports and one with the relevant bureau or office.

    Original Description:

    Form before using and official vehicle

    Original Title

    Trip Ticket

    Copyright

    © © All Rights Reserved

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    This document is a driver's trip ticket from the Municipality of Kibawa in the Province of Bukidnon, Philippines. It authorizes the travel of Municipal Mayor Minerva C. Casinabe to Malaybalay City for official business using government vehicle plate number BOONDOCK D-MAX, driven by Alner J. Lanutan. The form documents the vehicle and passenger details, travel times, fuel and supply usage, and is certified by both the driver and passenger for the official trip on June 29, 2019. Upon completion, one copy is filed with the monthly travel reports and one with the relevant bureau or office.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    83 views2 pages

    Local Government Unit: Municipality of Kibawe

    Uploaded by

    Ellaine Grace Delima Gurro
    This document is a driver's trip ticket from the Municipality of Kibawa in the Province of Bukidnon, Philippines. It authorizes the travel of Municipal Mayor Minerva C. Casinabe to Malaybalay City for official business using government vehicle plate number BOONDOCK D-MAX, driven by Alner J. Lanutan. The form documents the vehicle and passenger details, travel times, fuel and supply usage, and is certified by both the driver and passenger for the official trip on June 29, 2019. Upon completion, one copy is filed with the monthly travel reports and one with the relevant bureau or office.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Republic of the Philippines

    Province of Bukidnon
    MUNICIPALITY OF KIBAWE
    -oOo-

    Local Government Unit


    Name of Bureau or Office

    DRIVER’S TRIP TICKET


    A. To be filed by the administrative officials Authorizing Official Travel:
    1. Name of Driver or Vehicle : ALNER J. LANUTAN
    2. Government car to be used (Plate No.) BOONDOCK D-MAX
    3. Name of Authorize passenger : MINERVA C. CASINABE
    4. Place or places to be visited/inspected : MALAYBALAY CITY
    5. Purpose : To transact official business
    REQUESTED BY: APPROVED BY:

    MINERVA C. CASINABE
    Municipal Mayor

    B. To be filed by the Driver


    1. Time of departure from Officer/Garage……….
    AM/PM
    2. Time of arrival at (Per No. 4 above)…………
    AM/PM
    3. Time of departure from (Per No. 4)…………...
    AM/PM
    4. Time of arrival back to office/garage………….
    AM/PM
    5. Approximated distance traveled (to and from)...
    AM/PM
    a. Balance in tank……………………………. Ltrs.
    b. Issued by office from stock……………….. Ltrs.
    c. Add-purchase during the trip……………… Ltrs.
    TOTAL …………………………… Ltrs.
    d. Deduct: Use during the trip(To &n From)… Ltrs.
    e. Balance in Tank at the end of the trip ……... Ltrs.

    6. Gear Oil used………………………………….. Ltrs.


    7. Lubricants Oil used……………………………. Ltrs.
    8. Grease issued………………………………….. Qrts.
    9. Speed Meter reading if any:
    a. At beginning……………………………….
    __________________Mls/Kms
    b. At the end of the Trip………………………… _______________________Mls/Kms
    c. Distance Traveled (Per No. 5)……………..
    Mls/Kms
    10. Remarks

    I HEREBY CERTIFY that I used this car on Official Business and I certify to the
    correctness of the above statement of records of travel.
    ALNER J. LANUTAN
    Driver / Signature

    I HEREBY CERTIFY that I used this car on Official Business as stated above
    Passenger /
    Signature

    June 29, 2019


    Date

    NOTE: This Form should be accomplished in duplicate the original of which to be attached to the Monthly reports
    of Travel and the duplicate to be filled with the Bureau or Office concerned (General Circular No. 26).

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