Rer 300

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

ANNEX A

REPUBLIC OF THE PHILIPPINES


Department of Education
Division of Talisay City
Talisay City, Cebu

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


Pursuant to COA Circular No. 2017-001 dated June 19, 2017

Name of Employee
Employee No.
Office
Division DIVISION OF TALISAY CITY
Particulars Amount (₱)
MOTORCYCLE FOR HIRE - from Residence to Alta Cebu - Cordova 150.00
MOTORCYCLE FOR HIRE - from Alta Cebu – Cordova to Residence 150.00

TOTAL 300.00

Purpose

ATTEND THE 3-DAY ENHANCEMENT OF CONTINGENCY PLANS AND BASIC LIFESUPPORT WITH SKILLS
EVALUATION FOR SDRRM COORDINATORS

I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above good and services were acquired from partied not issuing receipts. And that I
am fully aware that willful falsification of statements is punishable by law.

Certified correct: Noted by:

Signature

Printed Name

Employee Immediate Supervisor


Date Date

You might also like