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    Driver's Trip Ticket

    Uploaded by

    Jomari Bojos
    This document is a driver's trip ticket from the Municipality of Madridejos in the Province of Cebu in the Philippines. [1] It contains fields to record the name of the authorized driver and passengers, departure and arrival times, distances traveled, gasoline and oil used, and odometer readings. [2] The driver and passengers must sign to certify the accuracy and official purpose of the travel. [3]

    Copyright:

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

    Driver's Trip Ticket

    Uploaded by

    Jomari Bojos
    88 views2 pages
    This document is a driver's trip ticket from the Municipality of Madridejos in the Province of Cebu in the Philippines. [1] It contains fields to record the name of the authorized driver and passengers, departure and arrival times, distances traveled, gasoline and oil used, and odometer readings. [2] The driver and passengers must sign to certify the accuracy and official purpose of the travel. [3]

    Original Description:

    trip ticket

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    This document is a driver's trip ticket from the Municipality of Madridejos in the Province of Cebu in the Philippines. [1] It contains fields to record the name of the authorized driver and passengers, departure and arrival times, distances traveled, gasoline and oil used, and odometer readings. [2] The driver and passengers must sign to certify the accuracy and official purpose of the travel. [3]

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    88 views2 pages

    Driver's Trip Ticket

    Uploaded by

    Jomari Bojos
    This document is a driver's trip ticket from the Municipality of Madridejos in the Province of Cebu in the Philippines. [1] It contains fields to record the name of the authorized driver and passengers, departure and arrival times, distances traveled, gasoline and oil used, and odometer readings. [2] The driver and passengers must sign to certify the accuracy and official purpose of the travel. [3]

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    Republic of the Philippines

    Province of Cebu
    MUNICIPALITY OF MADRIDEJOS
    oOo
    Office of the Mayor
    Trip Ticket No. _____________
    Date:_____________________
    DRIVER'S TRIP TICKET
    A. To be filled by Administrative official authorized official travel:

    1. Name of driver of vehicle:__________________________________________________________________


    2. Government vehicles to be used plate no.___________________________________________________
    3. Name of authorized passengers:____________________________________________________________

    _____________________________________________
    Chief of Bureau of Official or his duly
    authorized representative
    B. To be filled by driver:

    1. Time of departure from office/garage ___________________________________________AM/PM


    2. Time of arrival at (per no. 4 above) _____________________________________________ AM/PM
    3. Time of departure from (per no. 4 above) _______________________________________ AM/PM
    4. Approximate distance travelled to and from _____________________________________ miles/kms.
    5. Gasoline issued purchased and consumed _______________________________________ miles/kms.

    a. Issued in tank _____________________________________________ ltrs.


    b. Issued by office from stock ___________________________________ltrs.
    c. Add: purchased during trip ___________________________________ltrs.
    d. Total . . . . . . . . . . . . . . . . . . . _________________________________ ltrs.
    e. Deduct: used during trip to and from ___________________________ltrs.
    f. Balance in tank at the end of the trip ___________________________ ltrs.
    6. Gear oil used ______________________
    7. Lub. Oil used ______________________
    8. Greased issued ___________________
    9. Speedmotor reading, if any:

    At the beginning of trip ______________________________________________________ miles/kms.


    At the end of the trip ________________________________________________________ miles/kms.
    10. Distance travelled (per no. 5 above) ___________________________________________ miles/kms.
    11. Remarks: _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________
    I hereby certify to the correctness of the above statement of record of travel.

    ______________________________________________
    Name of Driver

    I hereby certify that I used this vehicle on official business as stated above.
    ______________________________________________
    Name of Passenger

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