Trip Ticket Sir Dagooc
Trip Ticket Sir Dagooc
Trip Ticket Sir Dagooc
INSTRUCTIONS:
1. To be filed up in triplicate by person requesting use of the vehicle
2. Original - to driver to be attached to Fuel consumption Report (FCR)
3. Duplicate - to personal claims
4. Triplicate - to be submitted to ICD at the end of the trip
5. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: July 19, 2022
DRIVER’S NAME:Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Kahaponan, Nabag-o, Valencia City and vicinities.
PURPOSE OF TRAVEL: Validation of the incident reports submitted in BENRO
DATE OF DEPARTURE: June 25-28, 2022
RECOMMENDING DEPARTURE: APPROVED:
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
6. To be filed up in triplicate by person requesting use of the vehicle
7. Original - to driver to be attached to Fuel consumption Report (FCR)
8. Duplicate - to personal claims
9. Triplicate - to be submitted to ICD at the end of the trip
10. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: October 11, 2022
DRIVER’S NAME:Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Dalwangan, Mal. City/Valencia City and vicinities/North area Municipalities
PURPOSE OF TRAVEL: Conduct Inspection and Verification re: request transport of excavated materials
/Conduct data update on the local policies related to Ecological Solid Waste Management
DATE OF DEPARTURE: October 18-21, 2022
RECOMMENDING DEPARTURE: APPROVED:
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
11. To be filed up in triplicate by person requesting use of the vehicle
12. Original - to driver to be attached to Fuel consumption Report (FCR)
13. Duplicate - to personal claims
14. Triplicate - to be submitted to ICD at the end of the trip
15. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: October 20, 2022
DRIVER’S NAME: Dennis C. Dagooc
AUTHORIZED PASSENGER(S): Dennis C. Dagooc
DESTINATION: Dalwangan, Malaybalay City; Cabanglasan; Impasug-ong, Bukidnon
PURPOSE OF TRAVEL: Conduct Inspection and area verification re: request for excavated materials; Conduct
data update on the local policies related to Ecological Solid Waste Management
DATE OF DEPARTURE: October 24-26, 2022
RECOMMENDING DEPARTURE: APPROVED:
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
16. To be filed up in triplicate by person requesting use of the vehicle
17. Original - to driver to be attached to Fuel consumption Report (FCR)
18. Duplicate - to personal claims
19. Triplicate - to be submitted to ICD at the end of the trip
20. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: October 12, 2022
DRIVER’S NAME:Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Valencia City and vicinities
PURPOSE OF TRAVEL: Attend dialogue: as per request by Brgy. Vintar re: settlement of boundary
conflict/MONITORING AND INSPECTION w/ -in the contested area.
DATE OF DEPARTURE: October 13-14, 2022
RECOMMENDING DEPARTURE: APPROVED:
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
21. To be filed up in triplicate by person requesting use of the vehicle
22. Original - to driver to be attached to Fuel consumption Report (FCR)
23. Duplicate - to personal claims
24. Triplicate - to be submitted to ICD at the end of the trip
25. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: November 11, 2022
DRIVER’S NAME: Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Kahaponan, Valencia City
PURPOSE OF TRAVEL: Conduct update on the renewal of contract of lease on the leased quarry checkpoints
DATE OF DEPARTURE: November 10, 2022
RECOMMENDING DEPARTURE: APPROVED:
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
26. To be filed up in triplicate by person requesting use of the vehicle
27. Original - to driver to be attached to Fuel consumption Report (FCR)
28. Duplicate - to personal claims
29. Triplicate - to be submitted to ICD at the end of the trip
30. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: November 15, 2022
DRIVER’S NAME: Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Cabanglasan and Valencia City
PURPOSE OF TRAVEL: Conduct data update on the local policies related to Ecological Solid Waste
Management
DATE OF DEPARTURE: November 17-18, 2022
RECOMMENDING DEPARTURE: APPROVED:
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
31. To be filed up in triplicate by person requesting use of the vehicle
32. Original - to driver to be attached to Fuel consumption Report (FCR)
33. Duplicate - to personal claims
34. Triplicate - to be submitted to ICD at the end of the trip
35. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: November 16, 2022
DRIVER’S NAME: Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Maramag, Valencia City, San Fernado
PURPOSE OF TRAVEL: Conduct Inspection and area verification re: request for excavated materials; Conduct
data update on the local policies related to Ecological Solid Waste Management
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger
INSTRUCTIONS:
36. To be filed up in triplicate by person requesting use of the vehicle
37. Original - to driver to be attached to Fuel consumption Report (FCR)
38. Duplicate - to personal claims
39. Triplicate - to be submitted to ICD at the end of the trip
40. Quadruplicate - to be submitted to Gasoline station
TO BE FILED BY PERSON REQUESTING USE OF THE DEPARTMENT VEHICLE
TYPE OF PLATE DATE
VEHICLE: YAMAHA XTZ125 NO. SA-15089 FILED: December 15, 2022
DRIVER’S NAME: Dennis C. Dagooc
AUTHORIZED PASSENGER(S):
DESTINATION: Maramag, Quezon, Don Carlos, Bukidnon
PURPOSE OF TRAVEL: Conduct data update on the local policies related to Ecological Solid Waste
Management
CERTIFIED CORRECT
DRIVER
I HEREBY CERTIFY THAT I USED THIS VEHICLE ON OFFICIAL BUSINESS AS STATED ABOVE
20
Signature of Passenger