Appendix 45

Department of Education
Region VI – Western Visayas
DIVISION OF BACOLOD CITY
JOSE R. TORRES ELEMENTARY SCHOOL
Brgy. Singcang-Airport, Bacolod City

CERTIFICATION OF TRAVEL COMPLETED

NORMY E. CANJA Division of Bacolod City

Elementary School Principal IV Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the COA Circular No.
2017-001, ‘Certification of Expenses Not Requiring Receipts’ dated November 12, 13, 14, 15, 21, 22, 23,
26, 28, 29, 2018 under conditions indicated below:

/ x / strictly in accordance with the Circular.

/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / extended as explained below, additional itinerary was submitted
/ / other deviation as explained below.

Explanation or justifications: _______________________________________________________

______________________________________________________________________________

Evidence of travel:

1. Certificate of Appearance
2. Certificate of Traveled Completed

Respectfully submitted:

LAWRENCE JEROME P. GRANADA

MOOE In-Charge

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

Approved:

NORMY E. CANJA
ESP IV
 Appendix 45

Department of Education
Region VI – Western Visayas
DIVISION OF BACOLOD CITY
JOSE R. TORRES ELEMENTARY SCHOOL
Brgy. Singcang-Airport, Bacolod City

CERTIFICATION OF TRAVEL COMPLETED

NORMY E. CANJA Division of Bacolod City

Elementary School Principal IV Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the COA Circular No.
2017-001, ‘Certification of Expenses Not Requiring Receipts’ dated December 12 & 13, 2018 under
conditions indicated below:

/ x / strictly in accordance with the Circular.

/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / extended as explained below, additional itinerary was submitted
/ / other deviation as explained below.

Explanation or justifications: _______________________________________________________

______________________________________________________________________________

Evidence of travel:

1. Certificate of Appearance
2. Certificate of Traveled Completed

Respectfully submitted:

LAWRENCE JEROME P. GRANADA

MOOE In-Charge

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

Approved:

NORMY E. CANJA
ESP IV
 Appendix 45

Republic of the Philippines

Department of Education
Negros Island Region
DIVISION OF BACOLOD CITY
Bacolod City

CERTIFICATION OF TRAVEL COMPLETED

CYNTHIA G. DEMAVIVAS,CESO V Division of Bacolod City

Schools Division Superintendent Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the itinerary of Travel
No. 111254-17 dated Dec.14, 2017 under conditions indicated below:

/ x / strictly in accordance with the approved itinerary.

/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / extended as explained below, additional itinerary was submitted
/ / other deviation as explained below.

Explanation or justifications: _______________________________________________________

______________________________________________________________________________

Evidence of travel:

1. Approved Authority to Travel

2. Approved Itinerary of Travel
3. Boat/Plane/Bus/Taxi/Terminal Fee Tickets
4. Certificate of Appearance
5. Certificate of Traveled Completed

Respectfully submitted:

MA. MYRNA A. CONDADA

Teacher I

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

Approved:

CYNTHIA G. DEMAVIVAS, CESO V

Schools Division Superintendent
 Appendix 45

Republic of the Philippines

Department of Education
Negros Island Region
DIVISION OF BACOLOD CITY
Bacolod City

CERTIFICATION OF TRAVEL COMPLETED

NORMY E. CANJA Jose R. Torres Elementary School

Elementary School Principal IV Station

I HEREBY CERTIFY THAT I have completed the travel as supported by the Certificate of
Appearances from Jan.15, 2018 to Feb.2, 2018 under conditions indicated below:

/ x / strictly in accordance with the certificate of expenses not requiring receipts.

/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / extended as explained below, additional itinerary was submitted
/ / other deviation as explained below.

Explanation or justifications: Fare expenses incurred during the processing of MOOE for the Month of
Jan. and Feb. 2018.

Evidence of travel:

1. Certificate of Appearances
2. Certificate of Traveled Completed

Respectfully submitted:

LAWRENCE JEROME P. GRANADA

Teacher III

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

Approved:

NORMY E. CANJA
Elementary School Principal IV
 CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)
 CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)

CERTIFICATE OF APPEARANCE

This is to certify that ________________________________ appeared in our establishment to

submit/process _______________________ on ___________________.
This certification is issued upon the request of the above-mentioned name for whatever purpose/s it may
serve best.

________________________________
(Name & Signature of Authorized Representative)