Republic of the Philippines

Department of Environment and Natural Resources

DENR Compound Mabini Super Highway Aplaya, Digos City
Tel. No. (082) 272-1894
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No. __________
DRIVER’S TRIP TICKET

Date: May 11, 2020

1. To be filled by the Administrative Official authorizing Official Travel:

1.1 Name of Driver of Vehicle: MICHAEL S. LUSBOG

1.2 Government Car to be Used (Plate No.) SFU-888

1.3 Name of Authorized Passenger/s:

1. 5.
2. 6.
3. 7.
4. 8.

1.4 Place/s to be Visited/Inspected

Date of Travel Place to be Visited
May 11-15 2020 Within the vicinities of Digos
City, Davao Del Sur and Davao
City.
1.5 Purpose
To ferry DENR-PENRO Personnel section chief’s from
Davao City and vice versa official matters and
immediate actions in response to the corona virus 2019
preparedness and actions/official documents and do
other office errand as per instruction of the office head.
To change oil of RP Vehicle SFU-888

Approved by:

PABLITO M. OPRECIA
OIC, PENR OFFICER

2. To be filled by the Driver:

2.1 Time of Departure from the Office/Garage: AM/PM

2.2 Gasoline Purchased and Consumed:
2.2.1 Balance in Tank Liters
2.2.2 Add: Purchased During Trip Liters
2.2.3 Total Liters

2.3 Deduct: Used During the Trip: Liters

2.4 Balance in Tank at the End of the Trip: Liters

2.5 Grease Issued: Liters
2.6 Brake Fluid/Oil Issued: Liters
2.7 Speedometer Reading: OUT OF ORDER
2.7.1 At the beginning of the Trip Miles/Kms.
2.7.2 At the End of the Trip Miles/Kms.
2.7.3 Distance Traveled Miles/Kms.

I HEREBY CERTIFY to the correctness at the above statement of record travel.

MICHAEL S. LUSBOG
Driver

I/WE HEREBY CERTIFY I/WE used this car on official business as stated above.
NAME OF PASSENGER/S:
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