Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date : 01/31/2023
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee ALEX K. TRAZO
Address DARPO-SDN

Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVELING EXPENSE DURING

OFFICIAL TRAVEL ON JANUARY 17, 2023 IN BUTUAN CITY
PER SUPPORTING PAPERS HERETO ATTACHED IN THE 2,120.00
TOTAL AMOUNT OF……

Attachments:
1. Appendix 45
2. TRAVEL ORDER
3. Certificates of Appearance
4. APPENDIX 47
Amount Due 2,120.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

MARIA ELIZABETH L. DE GUZMAN

PARPO II

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Supp Supporting documents complete and amount claimed
proper
Signature Signature

Printed
Printed Name
Name
APOLONIO L. MACALOS,CPA/LLB MARIA ELIZABETH L. DE GUZMAN
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
ALEX K. TRAZO
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

Name : ALEX K. TRAZO Date of Travel : 1/17/2023

Position : PCAO Purpose of Travel : To Attend RCI-TWG Meeting in
Official Station : DARPO-SDN Butuan City
TIME Means of
Transpor-
Date Transporta
station
Per Diem Others Total Amount
Places to be visited (Destination) Departure Arrival tion
1/17/2023 OS DARPO-SDN TO BUTUAN CITY 5:00AM 7:30AM VAN 310 1,500.00 1,810.00
BUTUAN CITY TO OS DARPO-SDN 3:00 PM 5:00 PM VAN 310 310.00

-
TOTAL - - - 2,120.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is necessary to the ALEX K. TRAZO
service, (3) the period covered is reasonable and (4) the expenses claimed are proper. PCAO

Approved by:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No. 01-065 on January 17,
2023 respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Travel Order
Memorandum

Respectfully submitted:

ALEX K. TRAZO
PCAO

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee LORNA G. MATURAN
Address DARPO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVELLING EXPENSE DURING

OFFICIAL TRAVEL ON Jan. 5-6, 13-14, Feb. 7-9, March 4, 11-16,
2022 at Butuan City, AS PER SUPPORTING PAPERS HERETO 11,250.00
ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. APPENDIX 45
2. TRAVEL ORDER
3. CERTIFICATE OF APPEARANCE
4. APPENDIX 47

Amount Due 11,250.00

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

ALEX K. TRAZO
PCAO

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

LORNA G. MATURAN
Name : Date of Travel : Jan. 5,6,11,14, Feb. 7-9, 11-16, 2022
Position : HRMO II Purpose of Travel :
Official Station : DARPO-SDN Please see attached TO.
TIME Means of Transpor-
Date Transportation station
Per Diem Others Total Amount
Places to be visited (Destination) Departure Arrival

January 5, 2022 OS to Butuan City 6:00AM 9:30AM RP 1,500.00 1,500.00

January 6, 2022 Butuan City to OS 4:30PM 7:30PM RP 750.00 750.00

January 13, 2022 OS to Butuan City 5:00AM 8:00AM RP 1,500.00 1,500.00

January 14, 2022 Butuan City to OS 5:30PM 8:30PM RP 750.00 750.00

February 7, 2022 OS to Butuan City 6:30AM 9:00AM RP 1,500.00 1,500.00

February 8, 2022 Still in Butuan City 1,500.00 1,500.00

February 9, 2022 Butuan City to OS 4:45PM 19:55 RP 750.00 750.00

March 4, 2022 OS to Butuan City 6:00AM 9:00AM RP 750.00 750.00

March 15, 2022 OS to Butuan City (DARRO13) 5:30AM 9:30AM RP 1,500.00 1,500.00

March 16, 2022 Butuan City (DARRO13) to OS 5:25AM 8:00PM RP 750.00 750.00

vxvx Nothing Follows xvxv

TOTAL - 11,250.00 - 11,250.00

Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is
necessary to the service, (3) the period covered is reasonable and (4) LORNA G. MATURAN
the expenses claimed are proper. HRMO II

Approved by:

ALEX K. TRAZO
PCAO MARIA ELIZABETH L. DE GUZMAN
PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of TO No: 01-021, 01-035, 02-128, 03-275,
03-389 respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Travel Order

Respectfully submitted:

LORNA G. MATURAN
HRMO II

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee JAYMEL P. DIEGAS
Address DARPO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVELLING EXPENSE DURING

OFFICIAL TRAVEL ON NOVEMBER 23,24 &25, 2021 AT
BUTUAN CITY, AS PER SUPPORTING PAPERS HERETO 2,851.00
ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. APPENDIX 45
2. BUS TICKET
3.TRAVEL ORDER
4. CERTIFICATE OF APPEARANCE
5. APPENDIX 47
6. Certification of expenses not requiring receipts

Amount Due 2,851.00

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

ENGR. MONROE P. MAKINANO

CARPO/ Parcelization Component Coordinator

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

SuppoSupporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 02-Foreign Assisted Project Fund No.: _______________

Name : JAYMEL P. DIEGAS Date of Travel : Nov. 23,24 & 25,2021

Position : VALIDATOR Purpose of Travel : Request Copies and
Official Station : DARPO-SDN Reproduction of Approved Survey Plan
TIME Means of Transpor- Total
Date Transportation station Per Diem Others
Amount
Places to be visited (Destination) Departure Arrival
Nov. 23,2021 OS Surigao City - Butuan City 5:10 8:30 Bus 205 205.00

Hotel to DENR LMS CARAGA 9:15AM 9:45AM Tricycle Hire 100 100.00

DENR LMS CARAGA to Hotel 4:30PM 5:10PM Tricycle Hire 100 800.00 900.00

Nov. 34,2021 Hotel to DENR LMS CARAGA 9:15AM 10:05AM Tricycle Hire 100 800.00 900.00

DENR LMS CARAGA to Hotel 3:45PM 4:25PM Tricycle Hire 100 100.00

Nov. 25,2021 Hotel to DENR LMS CARAGA 9:00AM 9:31AM Tricycle Hire 100 100.00

DENR LMS CARAGA to Bus Terminal 11:20AM 11:50AM Tricycle Hire 100 100.00

Butun City to OS Surigao City 12:30PM 3:20PM Bus 206 240.00 446.00

-
-
TOTAL 1,011 1,840.00 - 2,851.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is JAYMEL P. DIEGAS
necessary to the service, (3) the period covered is reasonable and (4) VALIDATOR
the expenses claimed are proper.

Approved by:

ENGR. MONROE P. MAKINANO MARIA ELIZABETH L. DE GUZMAN

CARPO/Parcelization Component Coordinator PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 02-Foreign Assisted Project Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No.11-321-21 , respectively under
conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Bus ticket
Travel Order

Respectfully submitted:

JAYMEL P. DIEGAS
VALIDATOR

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee SYME HARVEY G. CHUA
Address DARPO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVELLING EXPENSE DURING

OFFICIAL TRAVEL FOR THE MONTH OF SEPT, OCT., NOV,
2020 AT MAINIT,PLACER, TAGANA-AN, GIGAQUIT, CLAVER 2,240.00
& BACUAG,SDN AS PER SUPPORTING PAPERS HERETO
ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. APPENDIX 45
2. TRAVEL ORDER
3. TRIP TICKET
4. CERTIFICATE OF APPEARANCE
5. APPENDIX 47

Amount Due 2,240.00

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

MA. LORNA A. ALBORES

OIC PCAO

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

MARCIAL S. LONGOS Sept, Oct. & Nov., 2020

Name : Date of Travel :
Position : DRIVER Purpose of Travel : To Ferried DAR Personnel
Official Station :DARPO-SDN for Official Business
TIME Means of Transpor- Total
Date Transportation station
Per Diem Others
Amount
Places to be visited (Destination) Departure Arrival
18-Sep-2020 OS Surigao City to Tubod,,SDN to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

17-Sep-2020 OS Surigao City to Mainit, Alegria,SDN, to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

21-Sep-2020 OS Surigao City to Mainit to ubod,SDN to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

23-Sep-2020 OS Surigao City to Claver,SDN to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

24-Sep-2020 OS Surigao City to Placer & Tubod,SDN to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

25-Sep-2020 OS Surigao City to Placer & Tubod,SDN to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

30-Sep-2020 OS Surigao City to Sison & Tagana-an,SDN to OS Surigao City 6:00AM 6:00PM RP 80.00 80.00

19-Oct-2020 OS Surigao City to Gigaquit, SDN to OS Surigao City 8:00AM 5:30PM RP 80.00 80.00

20-Oct-2020 OS Surigao City to Mainit & Tgana-an,SDN to OS Surigao City 8:00AM 4:30PM RP 80.00 80.00
21-Oct-2020 OS Surigao City to Mainit & Tgana-an,SDN to OS Surigao City 8:00AM 4:00PM RP 80.00 80.00
26-Oct-2020 OS Surigao City to Tgana-an,SDN to OS Surigao City 8:10AM 4:50PM RP 80.00 80.00
28-Oct-2020 OS Surigao City to Tgana-an,SDN to OS Surigao City 8:30AM 4:30PM RP 80.00 80.00
4-Nov-2020 OS Surigao City to Alegria,SDN to OS Surigao City 8:00AM 4:00PM RP 80.00 80.00
5-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 8:00AM 4:30PM RP 80.00 80.00
6-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 9:00AM 5:30PM RP 80.00 80.00
11-Nov-2020 OS Surigao City to Tgana-an,SDN to OS Surigao City 8:20AM 5:00PM RP 80.00 80.00
12-Nov-2020 OS Surigao City to Placer,SDN to OS Surigao City 8:30AM 5:00PM RP 80.00 80.00
13-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 8:00AM 4:30PM RP 80.00 80.00
16-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 8:00AM 4:00PM RP 80.00 80.00
17-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 8:00AM 4:30PM RP 80.00 80.00
18-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 9:00AM 5:30PM RP 80.00 80.00
19-Nov-2020 OS Surigao City to Placer & Gigaquit,SDN to OS Surigao City 8:00AM 4:00PM RP 80.00 80.00
20-Nov-2020 OS Surigao City to Placer & Bacuag,SDN to OS Surigao City 8:10AM 4:50PM RP 80.00 80.00

21-Nov-2020 OS Surigao City to Placer & Bacuag,SDN to OS Surigao City 8:00AM 5:30PM RP 80.00 80.00

23-Nov-2020 OS Surigao City to Gigaquit & Placer,SDN to OS Surigao City 8:10AM 4:50PM RP 80.00 80.00

24-Nov-2020 OS Surigao City to Gigaquit & Placer,SDN to OS Surigao City 8:00AM 4:00PM RP 80.00 80.00

25-Nov-2020 OS Surigao City to Tolingon,Mainit,SDN to OS Surigao City 8:10AM 4:50PM RP 80.00 80.00
26-Nov-2020 OS Surigao City to Tolingon,Mainit,SDN to OS Surigao City 8:30AM 5:00PM RP 80.00 80.00
27-Nov-2020 OS Surigao City to Gigaquit & Placer,SDN to OS Surigao City
-
-
TOTAL - 2,240.00 - 2,240.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is necessary to the MARCIAL S. LONGOS
service, (3) the period covered is reasonable and (4) the expenses claimed are proper. DRIVER

Approved by:

MA. LORNA A. ALBORES MARIA ELIZABETH L. DE GUZMAN

OIC PCAO PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No. 09-1445, 09-1407, 09-1459,
09-1456, 09-1491, 09-1506,10-1532, 10-1545, 10-1543, 10-1544, 11-1572, 11-1575, 11-1598, 11-1612, 11-1599, 11-1617, 11-1635, 11-1661, 11-
1674, 11-1679, 11-1705, dated Sept. 15, 17,21, 24, 30, Oct. 19, 26, 27, Nov. 5, 10, 12, 13, 16, 19, 23, 25 , 2020 respectively under conditions
indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Trip Ticket
Travel Order

Respectfully submitted:

MARCIAL S. LONGOS
DRIVER

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee MA. LORNA A. ALBORES
Address SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

TOREIMBURSEMENT OF TRAVELING EXPENSE DURING

OFFICIAL TRAVEL ON FEB 14,18-22,24-26,27, 2020 AT BUTUAN
CITY& MAKATI CITY, AS PER SUPPORTING PAPERS HERETO 8,008.00
ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. APPENDIX 45
2. SPECIAL ORDER
3. CERTIFICATE OF APPEARANCE
4. PLANE TICKET & BUS TICKET
5. BOARDING PASS
6. APPENDIX 47

Amount Due 8,008.00

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

MARIA ELIZABETH L. DE GUZMAN

PARPO II

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

Name : MA. LORNA A. ALBORES Date of Travel : Feb. 14, 19-21, 24-26, 27, 2020
Position : OIC CARPO Purpose of Travel : See attached Travel
Official Station : DARPO-SDN Order/Special Order
TIME Means of Transpor- Total
Date Transportation station Per Diem Others
Amount
Places to be visited (Destination) Departure Arrival
14-Feb-2020 OS-Surigao City to Butuan City 6:00AM 8:00AM RP -

Butuan City to OS Surigao City 6:00PM 8:30PM RP 750.00 750.00

18-Feb-2020 Residence, Tubod,SDN to Butuan City 10:00AM 2:30PM Bus 163.00 1,420.00 1,583.00

Butuan Bus Terminal to Lodging House 3:00PM 3:30PM Tricycle hire 50.00 50.00

19-Feb-2020 Lodging House to Butuan Airport 6:00AM 6:40AM Tricycle hire 150.00 150.00

Butuan Airport to NAIA 8:35AM 10:20AM Plane -

NAIA to Venue, Makati City 10:50AM 1:30PM Taxi 500.00 880.00 1,380.00
Feb. 20-21, 2020 Still at Venue 880.00 880.00
22-Feb-2020 Venue, Makati City to NAIA 2:00AM 3:00AM Taxi 500.00 500.00
NAIA to Butuan Airport 5:55AM 7:50AM Plane -
Butuan Airport to Butuan Bus Terminal 8:00AM 9:00AM Tricycle hire 150.00 150.00
Butuan City to Residence Tubod,SDN 9:30AM 1:30PM Bus 165.00 300.00 465.00

24-Feb-2020 OS-Surigao City to Butuan City 6:00AM 9:00AM RP 300.00 300.00

25-Feb-2020 Still at Venue 300.00 300.00

26-Feb-2020 Butuan City to OS Surigao City 5:00PM 9:00PM RP 750.00 750.00

27-Feb-2020 OS-Surigao City to Butuan City 6:00AM 9:00AM RP -

Butuan City to OS Surigao City 6:30PM 10:00PM RP 750.00 750.00

-
TOTAL 1,678.00 6,330.00 - 8,008.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is MA. LORNA A. ALBORES
necessary to the service, (3) the period covered is reasonable and (4) OIC CARPO
the expenses claimed are proper.

Approved by:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No.02-323, 79, 02-316, 02-422
dated Feb. 7,13, 14, 26, 2020 respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Special Order
Plane Ticket
Boarding Pass

Respectfully submitted:

MA. LORNA A. ALBORES

OIC CARPO

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee PRISCILLA D. POSPIA
Address SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

TOREIMBURSEMENT OF TRAVELING EXPENSE DURING

OFFICIAL TRAVEL ON JJULY 2-31, 2020 AT TUBOD, PLACER,
BACUAG, MAINIT, SDN, AS PER SUPPORTING PAPERS 3,790.00
HERETO ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. APPENDIX 45
2. SPECIAL ORDER
3. CERTIFICATE OF APPEARANCE
4. PLANE TICKET & BUS TICKET
5. BOARDING PASS
6. APPENDIX 47

Amount Due 3,790.00

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

ATTY. JONALO ACE C. CHUA

TRIAL ATTORNEY V/CHIEL LEGAL OFFICER

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45
ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

Name : PRISCILLA D. POSPIA Date of Travel : July 2-31, 2020

Position : ARPO II Purpose of Travel : See attached Travel
Official Station : DARPO-SDN Order/Special Order
TIME Means of Transpor- Total
Date Transportation station Per Diem Others
Amount
Places to be visited (Destination) Departure Arrival
2-Jul-2020 OS-Surigao City to Placer,SDN 8:00AM 8:40AM Van 50.00 50.00

Placer,SDN to OS Surigao City 3:30PM 4:00PM Van 50.00 80.00 130.00

3-Jul-2020 OS-Surigao City to Tubod,SDN 9:10AM 10:00AM Van 60.00 60.00

Tubod,SDN to OS Surigao City 3:30PM 4:20PM Van 60.00 80.00 140.00

OS-Surigao City to Magpayang
8-Jul-2020 8:30AM 9:10AM Van 65.00 65.00
Mainit,SDN
Magpayang to Cantugas to
9:20AM 10:30AM Tricyclehire 400.00 400.00
Magpayang,Mainit,SDN
Magpayang Mainit,SDN to OS Surigao
3:00PM 4:00PM Van 65.00 80.00 145.00
City
10-Jul-2020 OS-Surigao City to Tubod,SDN 8:30AM 9:40AM Van 60.00 60.00

Tubod,SDN to OS Surigao City 3:00PM 4:20PM Van 60.00 80.00 140.00

15-Jul-2020 OS-Surigao City to Bacuag,SDN 8:30AM 9:10AM Van 80.00 80.00

Bacuag Highway to Little Baguio to

9:20AM 10:20AM Tricycle hire 500.00 500.00
Bacuag Highway

Bacuag,SDN to OS Surigao City 3:20PM 4:00PM Van 80.00 80.00 160.00

17-Jul-2020 OS-Surigao City to Tubod,SDN 8:00AM 9:00AM Van 60.00 60.00

Tubod,SDN to OS Surigao City 3:45PM 4:30PM Van 60.00 80.00 140.00

22-Jul-2020 OS-Surigao City to Bacuag Highway,SDN 8:00AM 9:20AM Van 60.00 60.00

Bacuag Highway to Payapag to Bacuag

9:30AM 10:40AM Tricycle hire 500.00 500.00
Highway

Bacuag Highway,SDN to OS Surigao City 3:00PM 4:20PM Van 60.00 80.00 140.00

23-Jul-2020 OS-Surigao City to Placer,SDN 8:00AM 9:20AM Van 50.00 50.00

Placer,SDN to OS Surigao City 3:30PM 4:30PM Van 50.00 80.00 130.00

24-Jul-2020 OS-Surigao City to Tubod,SDN 8:00AM 9:00AM Van 60.00 60.00

Tubod,SDN to OS Surigao City 3:45PM 4:30PM Van 60.00 80.00 140.00

29-Jul-2020 OS-Surigao City to Tubod,SDN 8:00AM 9:00AM Van 60.00 60.00

Tubod,SDN to OS Surigao City 3:45PM 4:30PM Van 60.00 80.00 140.00

30-Jul-2020 OS-Surigao City to Placer,SDN 8:00AM 8:40AM Van 50.00 50.00

Placer,SDN to OS Surigao City 3:30PM 4:00PM Van 50.00 80.00 130.00

31-Jul-2020 OS-Surigao City to Tubod,SDN 8:00AM 9:00AM Van 60.00 60.00

Tubod,SDN to OS Surigao City 3:45PM 4:30PM Van 60.00 80.00 140.00

TOTAL 2,830.00 960.00 - 3,790.00

Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is PRISCILLA D. POSPIA
necessary to the service, (3) the period covered is reasonable and (4) ARPO II
the expenses claimed are proper.

Approved by:

ATTY. JONALO ACE C. CHUA MARIA ELIZABETH L. DE GUZMAN

TRIAL ATTORNEY V/ CHIEF LEGAL OFFICER PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No.07-924, 07-925, 07-926, 07-
927, 07-1043, 07-928 dated July 2, 27, 2020 respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Travel Order

Respectfully submitted:

PRISCILLA D. POSPIA
ARPO II

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Annex A
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF AGRARIAN REFORM
PROVINCE OF SURIGAO DEL NORTE
SURIGAO CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017

Employee
Name of Employee PRISCILLA D. POSPIA
No.
Office DARPO-SDN
Division LEGAL
Date Particulars Amount (₱)
2-Jul-2020 OS-Surigao City to Placer,SDN 50.00
Placer,SDN to OS Surigao City 50.00
3-Jul-2020 OS-Surigao City to Tubod,SDN 60.00
Tubod,SDN to OS Surigao City 60.00
8-Jul-2020 OS-Surigao City to Magpayang Mainit,SDN 65.00
Magpayang Mainit,SDN to OS Surigao City 65.00
10-Jul-2020 Tubod,SDN to OS Surigao City 60.00
OS-Surigao City to Placer,SDN 60.00

15-Jul-2020 OS-Surigao City to Bacuag,SDN 80.00

Bacuag,SDN to OS Surigao City 80.00

17-Jul-2020 OS-Surigao City to Tubod,SDN 60.00
Tubod,SDN to OS Surigao City 60.00
22-Jul-2020 OS-Surigao City to Bacuag Highway,SDN 60.00
Bacuag Highway,SDN to OS Surigao City 60.00
23-Jul-2020 OS-Surigao City to Placer,SDN 50.00
Placer,SDN to OS Surigao City 50.00
24-Jul-2020 OS-Surigao City to Tubod,SDN 60.00
Tubod,SDN to OS Surigao City 60.00
29-Jul-2020 OS-Surigao City to Tubod,SDN 60.00
Tubod,SDN to OS Surigao City 60.00
30-Jul-2020 OS-Surigao City to Placer,SDN 50.00
Placer,SDN to OS Surigao City 50.00
31-Jul-2020 OS-Surigao City to Tubod,SDN 60.00
Tubod,SDN to OS Surigao City 60.00

TOTAL 1,430.00

Purpose
See attached Travel Order & Special Order

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
above good and services were acquired from parties not issuing receipts. And that I am fully aware that willful
falsification of statements is punishable by law.

Certified correct: Noted by:

Signature

PRISCILLA D. POSPIA ATTY. JONALO ACE C. CHUA

Printed Name
 Employee Immediate Supervisor
Date Date
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee DENNIS N. MATURAN
Address DARPO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVELLING EXPENSE DURING

OFFICIAL TRAVEL ON NOV. 23-25, 2,3,4, 2020 AT BUTUAN
CITY & CLAVER,SDN PER SUPPORTING PAPERS HERETO 2,560.00
ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. Appendix 45
2. TRAVEL ORDER
3. TRIP TICKET
4. Certificates of Appearance
5. APPENDIX 47

Amount Due 2,560.00

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

MA. LORNA A. ALBORES

OIC PCAO

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

DENNIS N. MATURAN
Name : Date of Travel :
Position : DRIVER Purpose of Travel : To Ferried DAR Personnel
Official StationDARPO-SDN for Official Business
TIME Means of
Transp Total
Date Transpor Per Diem Others
Places to be visited (Destination) Departure Arrival or- Amount
tation
station
23-Nov-2020 OS Surigao City to Butuan City 6:00AM 9:00AM RP 800.00 800.00

24-Nov-2020 Still at Butuan City 800.00 800.00

25-Nov-2020 Butuan City to OS Surigao City 3:00PM 6:10PM RP 240.00 240.00

2-Dec-2020 OS Surigao City to Butuan City 6:00AM 9:00AM RP -

Butuan City to OS Surigao City 4:30PM 8:00PM RP 320.00 320.00

2-Dec-2020 OS Surigao City to Butuan City 6:00AM 9:00AM RP -

Butuan City to OS Surigao City 4:30PM 8:00PM RP 320.00 320.00

4-Dec-2020 OS Surigao City to Claver, SDN to OS Surigao City 8:00AM 3:30PM RP 80.00 80.00

-
-
TOTAL - 2,560.00 - 2,560.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is DENNIS N. MATURAN
necessary to the service, (3) the period covered is reasonable and (4) the DRIVER
expenses claimed are proper.
Approved by:

MA. LORNA A. ALBORES MARIA ELIZABETH L. DE GUZMAN

OIC PCAO PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No. 11-1675, 12-1750, 12-1762,
12-1751 dated Nov. 23, Dec. 2, 3, 2020 respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Trip Ticket

Respectfully submitted:

DENNIS N. MATURAN
DRIVER

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee ANTONIO L. ADINO
Address DARPO-SDN
Responsibility
Particulars MFO/PAP Amount
Center

TO REIMBURSEMENT OF TRAVELLING EXPENSE DURING

OFFICIAL TRAVEL ON THE MONTH OF NOV. 16-27 & DEC. 4-6,
2020 AT MAINIT, TUBOD,SDN, CAGAYAN DE ORO CITY, PER 2,720.00
SUPPORTING PAPERS HERETO ATTACHED IN THE TOTAL
AMOUNT OF……

Attachments:
1. Appendix 45
2. TRAVEL ORDER
3. TRIP TICKET
4. Certificates of Appearance
5. APPENDIX 47

Amount Due 2,720.00

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

MA. LORNA A. ALBORES

OIC PCAO

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45

ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

ANTONIO L. ADINO
Name : Date of Travel : Nov. 16-27, Dec. 4-6, 2020
Position : DRIVER Purpose of Travel : To Ferried DAR Personnel
Official StationDARPO-SDN for Official Business
TIME Means of
Transp Total
Date Transpor Per Diem Others
Places to be visited (Destination) Departure Arrival or- Amount
tation
station
OS Surigao City to Mainit & Tubod,SDN to OS
16-Nov-2020 8:00AM 4:00PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
17-Nov-2020 8:00AM 4:00PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
18-Nov-2020 10:00AM 4:30PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
19-Nov-2020 9:00AM 4:00PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
20-Nov-2020 9:40AM 6:17PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
23-Nov-2020 8:30AM 3:30PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
24-Nov-2020 8:00AM 4:00PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
25-Nov-2020 8:00AM 3:30PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
26-Nov-2020 8:00AM 4:30PM RP 80.00 80.00
Surigao City
OS Surigao City to Mainit & Tubod,SDN to OS
27-Nov-2020 8:00AM 4:00PM RP 80.00 80.00
Surigao City

4-Dec-2020 OS Surigao City to Cagayan de Oro City 5:40AM 11:30AM RP 800.00 800.00

5-Dec-2020 Still at Cagayan de Oro City 800.00 800.00

6-Dec-2020 Cagayan de Oro City to OS Surigao City 2:00PM 8:00PM RP 320.00 320.00

-
TOTAL - 2,720.00 - 2,720.00
Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is ANTONIO L. ADINO
necessary to the service, (3) the period covered is reasonable and (4) the DRIVER
expenses claimed are proper.
Approved by:

MA. LORNA A. ALBORES MARIA ELIZABETH L. DE GUZMAN

OIC PCAO PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No. 11-1618, 11-1636, 11-1676,
20-01136 dated Nov. 13, 16, 23, Dec. 1, 2020 respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Trip Ticket

Respectfully submitted:

ANTONIO L. ADINO
DRIVER

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Republic of the Philippines Fund Cluster :

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Surigao City
Date :
DISBURSEMENT VOUCHER DV No. :

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

TIN/Employee No.: ORS/BURS No.:

Payee SYME HARVEY G. CHUA
Address SURIGAO CITY
Responsibility
Particulars MFO/PAP Amount
Center

TOREIMBURSEMENT OF TRAVELING EXPENSE DURING

OFFICIAL TRAVEL ON NOV. 29,30, 2021 -DEC.1, 2021 AT
DARMO OFFICE DAPA,SDN, AS PER SUPPORTING PAPERS 3,140.00
HERETO ATTACHED IN THE TOTAL AMOUNT OF……

Attachments:
1. APPENDIX 45
TRAVEL ORDER
3. CERTIFICATE OF APPEARANCE
4. LAUNCH TICKET
5. Certification of not requiring Receipt
6. APPENDIX 47

Amount Due 3,140.00

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

ENGR. MONROE P. MAKINANO

CARPO/ Parcelization Component Coordinator

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available

Subject to Authority to Debit Account (when applicable)

Supp Supporting documents complete and amount claimed

proper

Signature Signature

Printed
APOLONIO L. MACALOS,CPA/LLB Printed Name MARIA ELIZABETH L. DE GUZMAN
Name
ACCOUNTANT II PARPO II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account
ADA No. : Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
 Appendix 45
ITINERARY OF TRAVEL

Entity Name : DEPARTMENT OF AGRARIAN REFORM-Surigao del Norte

Fund Cluster: 01-Regular Agency Fund No.: _______________

Name : CARLOS T. GOTOSTOS Date of Travel : Nov. 26-28, 2020

Position : ARPO II Purpose of Travel : See attached Travel
Official Station : DARPO-SDN Order/Special Order
TIME Means of Transpor- Total
Date Transportation station Per Diem Others
Amount
Places to be visited (Destination) Departure Arrival
26-Nov-2020 OS-Surigao City to Dapa,SDN 6:00AM 8:40AM Roro/Mboat 320.00 320.00

Dapa Port to DARMO Dapa 9:00AM 9:30AM Tricycle hire 10.00 800.00 810.00

27-Nov-2020 DARMO Dapa to Gen.Luna,SDN 2:00PM 3:00PM Tricycle Hire 100.00 800.00 900.00

28-Nov-2020 Gen. Luna to Dapa Port 11:30AM 12:20PM Tricycle Hire 100.00 100.00

Dapa,SDN to Surigao City 1:00PM 3:00PM Roro/Mboat 300.00 240.00 540.00

TOTAL 830.00 1,840.00 - 2,670.00

Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) the travel is CARLOS T. GOTOSTOS
necessary to the service, (3) the period covered is reasonable and (4) ARPO II
the expenses claimed are proper.

Approved by:

TOM M. PEÑARANDA MARIA ELIZABETH L. DE GUZMAN

SARPO PARPO II
 Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DEPARTMENT OF AGRARIAN REFORM-SDN Fund Cluster: 01-Regular Agency Fund

MARIA ELIZABETH L. DE GUZMAN DARPO-Surigao del Norte

PARPO II Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/Itinerary of Travel No. 11-1695 dated Nov. 24, 2020
respectively under conditions indicated below:

/ √ / 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 justifications:

Evidence of travel:
Certificates of Appearance
Travel Order
Boat Ticket

Respectfully submitted:

CARLOS T. GOTOSTOS
ARPO II

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

Approved:

MARIA ELIZABETH L. DE GUZMAN

PARPO II
 Annex A
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF AGRARIAN REFORM
PROVINCE OF SURIGAO DEL NORTE
SURIGAO CITY

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017

Employee
Name of Employee JAYMEL P. DIEGAS
No.
Office DARPO-SDN
Division SPLIT
Date Particulars Amount (₱)
Nov. 23,2021 Hotel - DENR Office 100.00
DENR Office - Hotel 100.00

Nov. 24,2021 Hotel - DENR Office 100.00

DENR Office - Hotel 100.00
Nov. 25,2021 DENR Office - Bus Terminal 100.00

TOTAL 500.00

Purpose
See attached Travel Order

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
above good and services were acquired from parties not issuing receipts. And that I am fully aware that willful
falsification of statements is punishable by law.

Certified correct: Noted by:

Signature

JAYMEL P. DIEGAS ENGR. MONROE P. MAKINANO

Printed Name
Employee Immediate Supervisor
Date Date