Professional Documents
Culture Documents
Liza Itinerary
Liza Itinerary
Total 920.00
I hereby certify that (1) I have the knowledge regarding Prepared by:
the travel; (2) the travel is necessary; (3) the peridod covered is
reasonable; and (4) the expenses claimed are proper.
LIZA C. VILLALBA
GIP
AMALIA N. JUDICPA Approved by:
OIC-Head, Capiz Field Office
Responsibility
Particulars MFO/PAP Amount
Center
₱ 820.00
To payment of traveling expenses and
per diems while on official travel outside of
Official Station per IT No. _______________
in the amount of
AMALIA N. JUDICPA
Officer-In-Charge
B. Accounting Entry:
Account Title UACS Code Debit Credit
Traveling Expenses - Local 5-02-01-010 820.00
Cash MDS Regular 1-01-04-040 820.00
Signature Signature
Printed
MARY JANE B. ITALIA-JASARINO Printed Name ATTY. SIXTO T. RODRIGUES, JR
Name
Date Date
E. Receipt of Payment JEV No.
Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
LIZA C. VILLALBA
820.00
To payment of traveling expenses and
per diems while on official travel outside of
Official Station per IT No.
_______________ in the amount of
Total 820.00
A Certified : Charges to the appropriation/ allotment necessary, B Certified: Allotment available and obligated for the
lawful and under my direct supervision; and supporting purpose/adjustment necessary as indicated above
documents valid, proper and legal.
Signature : Signature :
Printed Name : AMALIA N. JUDICPA Printed Name : RHIA MAE M. MILLOROSO
Position : Officer-In-Charge Position : Admin. Officer V
Date : Date :
C STATUS OF OBLIGATION
Reference Amount
Date Particulars ORS/JEV/RCI/RADAI No. Obligation Payment Not Yet Due
Due and Demandable
Totals
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Iloilo City
CERTIFICATE OF TRAVEL COMPLETED
ATTY. SIXTO T. RODRIGUES, JR DOLE, Regional Office 6
Agency Head Station
Regional Director
Position Date
I CERTIFY THAT I have completed the travel authorized in Itinerary of Travel No.
dated under conditions indicated
below:
Strictly in accordance with the approved itinerary.
Cut short as explained below: Excess payment in the amount of
Php was returned under O.R. No. ,
dated .
Extended as explained below. Additional itinerary was submitted.
Evidences of travel:
Used ticket
P Certificate of Appearance
P Others:
LIZA C. VILLALBA
GIP
On evidence and information of which I have knowledge, the travel was actually
undertaken.
Total 60.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated August 5, 2021
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
Total 60.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated August 11, 2021
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 60.00
Purpose
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated August 17, 2021
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
Total 60.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated August 23, 2021
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
ANNEX A
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. 6
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated August 27, 2021
Total 40.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.
Total 60.00
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that the
above goals were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of
statements is punishable by law.