Proposed Liquadation Expenses Form in Dagupan

LIQUIDATION/REIMBURSEMENT OF EXPENSES

Transportation

Area CodeDate Purpose/Itinerary From

10572 8/12/2015 Flying V Lucao, Dist, Dagupan City LucaoS0170 8/12/2015 Shell MH Delpilar, Dagupan City Perez StC0242 8/13/2015 Caltex Mayombo, Dagupan City MH Delpilar

C0241 8/14/2015 Caltex Perez, Dagupan City Perez St

C0240 8/15/2015 Caltex Lucao, Dagupan City Home 10237 8/16/2015 Centrum Lucao Dist., Dagupan City LucaoP0148 8/17/2015 Petron Lucao Dist., Dagupan City LucaoS0571 8/18/2015 Seaoil Lucao Dist., Dagupan City LucaoS0171 8/19/2015 Seaoil Tapuac Dist., Dagupan City TapuacC0879 8/20/2015 Caltex Bonuan Dist., Dagupan City Home

Other ExpensesDate Item Amount

Total Amount 0

Prepared by:

Demetrio B. Dela Rosa Jr.Field Researcher

LIQUIDATION/REIMBURSEMENT OF EXPENSES

To Amount

Lucao JeepShell MH Del Pilar JeepPerez Jeep 7.50

Jeep

Caltex Lucao JeepLucao JeepLucao Jeep 7.50Lucao JeepLucao Jeep 7.50MH Del Pilar Jeep 7.50

Total Amount 20.00

Means of Transpo

LIQUIDATION/REIMBURSEMENT OF EXPENSES

Transportation

Area CodeDate Purpose/Itinerary From

10568 8/18/2015 Seaoil Calasiao, Pangasinan CalasiaoPO753 8/18/2015 Petron Calasiao, Pangasinan CalasiaoT0043 8/18/2015 Total Calasiao, Pangasinan Calasiao

S0169 8/18/2015 Shell Calasiao, Pangasinan Calasiao

10093 8/18/2015 Centrum Calasiao, Pangasinan CalasiaoC02049 8/18/2015 Caltex Calasiao, Pangasinan CalasiaoP0155 8/18/2015 Petron Binmaley, Pangasinan CalasiaoP0151 8/18/2015 Nat. RD Mangaldan, Pangasinan Home C0245 8/18/2015 Caltex Manaoag, Pangasinan Mangaldan10238 8/18/2015 Centrum San Jacinto, Pangasinan Manaoag

Other ExpensesDate Item Amount

Total Amount 0

Prepared by:

Demetrio B. Dela Rosa Jr.Field Researcher

LIQUIDATION/REIMBURSEMENT OF EXPENSES

To Amount

Calasiao Jeep 8.00Calasiao JeepCalasiao Jeep

Calasiao Jeep

Calasiao JeepCalasiao JeepBinmaley Jeep 8.00Mangaldan Jeep 8.00Manaoag Jeep 8.00San Jacinto Jeep 800.00

Total Amount 20.00

Means of Transpo