Travel SK Chair

Annex 7
DISBURSEMENT VOUCHER
SK of Barangay: CABANGAHAN DV No.: 2024-03-004
City/Municipality: PANITAN Date: 03.19.2024
Province: CAPIZ
Payee: JOHN MARK D. DAP-OG
Address: PANITAN, CAPIZ
TIN:
TO PAYMENT FOR THE TRAVELLING EXPENSES FOR VARIOUS TRAVEL AS ₱ 1,940.00

ACTING SK CHAIRPERSON FOR THE OPERATION OF SK CABANGAHAN AS
PER ATTACH SUPPORTING DOCUMENTS AMOUNTING TO…
GROSS AMOUNT ₱ 1,940.00

Less: Withholding Tax: VAT: 5%
1%
NVAT: 3% -
1% -
Services: 5% -
2% - -
TOTAL/NET AMOUNT ₱ 1,940.00
A. CERTIFIED as to availability of B. CERTIFIED as to availability of C. CERTIFIED as to necessity
the budget or funds received for cash, and completeness and validity, propriety, and legality of
specific purpose: propriety of supporting documents: claim; and APPROVED for
payment:
JERICHO DEITA DEMALATA REX MAR B. GREGORIO JOHN MARK DAP-OG

Budget Monitoring Officer SK Treasurer SK Chairperson
Date: Date: Date:
D. RECEIVED PAYMENT:
Check No.: 74891190
Date:
JOHN MARK D. DAP-OG
Bank Name: DBP
Signature Over Printed Name of Payee/
Authorized Representative
Bank Branch: ROXAS
O.R. No.: 0
Date Date:
APPENDIX "A"
BARANGAY PASUGUE
(Agency)
03.19.2024
Date
ITINERARY OF TRAVEL
NAME: JOHN MARK D. DAP-OG

POSITION: SK CHAIRPERSON
A
OFFICIAL STATION: BARANGAY CABANGAHAN, PANITAN, CAPIZ
TO PROCESS FIDELITY BOND, CHANGE BANK SIGNATORIES AND DELIVER ADVICE
PURPOSE:
MEANS OF ALLOWABLE EXPENSES

DATE PLACES TO BE VISITED DEPARTURE ARRIVAL TRANSPOR TRANSPOR PER DIEMS TOTAL
TATION
02.29.2024 Station to Panitan 8:00 a.m 8:45 a.m tricycle 100.00 100.00
Panitan - Pueblo Terminal 9:00 AM 10:00 a.m L-300 40.00 40.00
Pueblo Terminal to BOTr 10:30 AM 2:00 PM Tricycle 10.00 10.00
BOTr - DBP 2:05:PM 2:40 PM Tricycle 10.00 10.00
DBP - Pueblo Terminal 3:30 PM 4:00 PM Tricycle 10.00 10.00
Pueblo Terminal to Panitan 4:00 PM 4:40 PM L-300 40.00 40.00
Panitan- Station 4:45 PM 5:30PM Tricycle 100.00 180.00 280.00
-
Pueblo Terminal to DBP 10:00 AM 12:00 PM Tricycle 10.00 10.00
BoTR - DBP 12:30 PM 1:000 PM tricycle 10.00 10.00
DBP - Pueblo Terminal 1:45 PM 2:15:PM tricycle 10.00 10.00
Pueblo Terminal to Panitan 4:00 PM 4:40 PM L-300 40.00 40.00
Panitan- Station 4:45 PM 5:30PM Tricycle 100.00 180.00 280.00
Pueblo Terminal to Panitan 4:00 PM 4:40 PM L-300 100.00 180.00 280.00
Panitan- Station 4:45 PM 5:30PM Tricycle
Pueblo Terminal to Panitan 4:00 PM 4:40 PM L-300 100.00 180.00 280.00
Panitan- Station 4:45 PM 5:30PM Tricycle
TOTAL 1,220.00 720.00 1,940.00
I certify that (1) I have reviewed the foregoing itinerary Prepared by:
(2) The travel is necessary to the service (3) The
period covered is reasonable (4) The expenses claim
proper. JOHN MARK D. DAP-OG
Office or Employee
Recommended by: Approved by:
HON. DINO DETABLAN HON. DINO DETABLAN

Head of Office Municipal Mayor
APPENDIX "B"
Republic of Philippines
Province of Capiz
Municipality of Panitan
Barangay Cabangahan
CERTIFICATE OF TRAVEL COMPLETED
HON. Dino Detablan BLGU - Cabangahan, Panitan, Capuz

(Head of Agency) (Station)
Punong Barangay 03.19.2024

(Position) (Date)
I certify that I have completed the Travel authorized in the Itinerary of Travel No. ,
dated under the conditions indicated below:
X Strictly in accordance with the approved itinerary.
Cut short as explained below :

Excess payment in the of P was returned on O.R. No. ,
dated .
Extended as explained below:

Additional itinerary was submitted.
X Other deviation as explained below:

Explanation of Justification: ,
.
Evidence of Travel attached hereto: Travel Order, Itinerary of Travel .

.
Respectfully yours,
JOHN MARK D. DAP-OG

(Officer / Employee)
On evidence and information of which I have knowledge the travel was actually undertaken.
HON. DINO D. DETABLAN

Municipal Mayor
Republic of the Philippines
Province of Capiz
Municipality of Panitan
BARANGAY PASUGUE
SANGGUNIANG KABATAAN
SUMMARY OF EXPENSES
PARTICULARS AMOUNT
TO REIMBURSE VARIOUS EXPENSES INCURRED FOR THE PROCESS OF BIR

REGISTRATION, FIDELITY BOND AND CHANGE OF SIGNATORIES TO BANKS AS ₱ 2,256.00
FOLLOWS:
BIR 0605 1,425.00

NOTARIAL FEE 200.00
FIDELITY BOND 567.00
REPRODUCTION OF DOCUMENTS 64.00
2,256.00
TOTAL AMOUNT SPENT

₱ 2,256.00

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Annex 7

TO PAYMENT FOR THE TRAVELLING EXPENSES FOR VARIOUS TRAVEL AS ₱ 1,940.00

GROSS AMOUNT ₱ 1,940.00

JERICHO DEITA DEMALATA REX MAR B. GREGORIO JOHN MARK DAP-OG

NAME: JOHN MARK D. DAP-OG

MEANS OF ALLOWABLE EXPENSES

TOTAL 1,220.00 720.00 1,940.00

Recommended by: Approved by:

HON. DINO DETABLAN HON. DINO DETABLAN

CERTIFICATE OF TRAVEL COMPLETED

HON. Dino Detablan BLGU - Cabangahan, Panitan, Capuz

Punong Barangay 03.19.2024

X Strictly in accordance with the approved itinerary.

Cut short as explained below :

Extended as explained below:

X Other deviation as explained below:

Evidence of Travel attached hereto: Travel Order, Itinerary of Travel .

JOHN MARK D. DAP-OG

HON. DINO D. DETABLAN

TO REIMBURSE VARIOUS EXPENSES INCURRED FOR THE PROCESS OF BIR

BIR 0605 1,425.00

TOTAL AMOUNT SPENT

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