APPENDIX B

CERTIFICATE OF TRAVEL COMPLETED

OFFICE OF THE CITY MAYOR

Agency/Office Station

I certify that I have completed the travel authorized in Itinerary No. ___, dated May ,
2018 under the conditions indicated below:

( X ) Strictly in accordance with the approved itinerary.

( ) Cut short as explained below. Excess payment in the amount of Php __________
was refunded per O.R. No. __________________ dated ________________.
( ) Extended as explained below. Additional itinerary was submitted.
( ) Other deviation as explained below.

EXPLANATIONS OR JUSTIFICATIONS:

___________________________________________________________________________
_____________________________________________________________________

EVIDENCE OF TRAVEL ATTACHED:

Air Fare Tickets duly validated by IAD,, R.E.Rs, Certificate of Appearance and other
supporting documents.

Respectfully submitted by:

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