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    Trip ticket new (2)

    Uploaded by

    charleslynel

    Copyright:

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

    Trip ticket new (2)

    Uploaded by

    charleslynel
    0 views6 pages

    Copyright

    © © All Rights Reserved

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    XLSX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    0 views6 pages

    Trip ticket new (2)

    Uploaded by

    charleslynel

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 6

    __________________

    DRIVER

    I hereby certify that I used this car on official business as stated above.

    __________________
    PASSENGER
    ___________, 2021
    Republic of the Philippines
    Province of Davao del Sur
    Municipality of Matanao
    -o0o-
    OFFICE OF THE MUNICIPAL MAYOR

    DRIVER'S TRIP TICKET

    No. __________ 28 nov. 24

    A. To be filled by the Administative Official/Authorizing Official Travel:


    1. Name of Driverof the vehicle : ARTEMIO SUMALINOG
    2. Government car tobe used, Plate No.: DOH AMBULANCE
    3. Name of Authorized passenger: JUNREY UGAL
    4. Place or places to be visited/inspected: SPMC, DAVAO CITY
    TO FERRY PATIENT

    By authority to the Mayor:

    JESSALIE G. DAVIN VINCENT F. FERNANDEZ


    B. To be filled by the driver: Chauffer Municipal Mayor
    1. Time of departure from office/garage:
    2. Time of arrival at (per No. 4 above) 3:00PM
    3. Time of departure from ( per No. 4)
    4. Time of arrival bacj to office/garage
    5. Approximate distance travelled (to and from)
    6. Gasoline issued, purchase and consumed:
    a. Balance in tank
    b. issued by office from stock
    c. Add - purchased during trip
    TOTAL:
    d. Deduct: Used during the trip (to & from)
    e. Balance in tank at the end of trip
    7. Gear oil issued
    8. Lubricant oil issued
    9. Grease issued
    10. Speedometer readings, if any:
    At beginning of trip
    At end of trip
    Distance travelled (per 5 above)
    11. Remarks:

    I hereby certify to the correctness of the above statement of record of travel.

    ARTEMIO SUMALINOG

    I hereby certify that I used this car on official business on stated above.

    JUNREY UGAL
    Passenger
    `

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