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Certificate of Travel for Corazon Flores

Corazon I. Flores, MD, MPH, CESO IV, Director IV of the Department of Health Regional Office No. IV-A, certifies that she completed travel according to Regional Personnel Order No. [order number] dated [date]. The travel was strictly in accordance with the approved itinerary. Evidence of the travel, including the Special Travel Order, Appendix A & B, Certificate of Appearance, and Narrative Report are attached. The certificate was prepared by Charlyn R. Fernandez R.N. and noted by Gerardo G. Mejorada. MD, PHTL.

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0% found this document useful (0 votes)
128 views1 page

Certificate of Travel for Corazon Flores

Corazon I. Flores, MD, MPH, CESO IV, Director IV of the Department of Health Regional Office No. IV-A, certifies that she completed travel according to Regional Personnel Order No. [order number] dated [date]. The travel was strictly in accordance with the approved itinerary. Evidence of the travel, including the Special Travel Order, Appendix A & B, Certificate of Appearance, and Narrative Report are attached. The certificate was prepared by Charlyn R. Fernandez R.N. and noted by Gerardo G. Mejorada. MD, PHTL.

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Republic of the Philippines

Department of Health
REGIONAL OFFICE NO.IV-A
Project 4, Quezon City
CERTIFICATE OF TRAVEL COMPLETED
CORAZON I. FLORES, MD, MPH, CESO IV

RO4A.,Project 4, Quezon City

Agency Head

Station

Director IV
Designation

October 2015
Date

I certify that I have completed the travel in the itinerary of travel Regional Personnel Order
No._____________________ dated ___________________ respectively under conditions
indicated below.
X Strictly in accordance with approved itinerary.
o Cut short as explained below. Excess payment in the amount of P_________
was refunded on O.R. No.__________dated__________________________
o Extended as explained below. Additional itinerary was submitted
o Other deviations as explained below.
Explanation or Justification: ______________________________________________
______________________________________________________________________
Evidences of travel attached hereto: Special Travel Order, Appendix A & B, Certificate
of Appearance & Narrative Report.

Prepared by:
Charlyn R. Fernandez R.N.
RAIDERS
Noted by:
GERARDO G. MEJORADA. MD.
PHTL

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