Annex A

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
Region II, Cagayan Valley
# 14 Dalan na Pagayaya, Regional Government Center, Carig, Tuguegarao City
Carig, Tuguegarao City, 3500
Tel. Nos. (078) 844-4344/8036 * 846-9129 (Fax) * e-mail: r2@denr.gov.ph

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2007-001 dated June 19, 2017
Employee No.
MARY JOYCE R. AQUINO

PARTICULARS AMOUT (P)

Residence to Tug. City (Brixtone)-August 7, 2018 30.00
Brixtone to Terminal Van (riverside)-August 7, 2018 20.00
Riverside to CENRO Cabagan-August 7, 2018 60.00
CENRO Cabagan to Tug City (Riverside)-August 7, 2018 60.00
Riverside to Iguig Van Terminal-August 7, 2018 10.00
Terminal to Residence-Auguat 7, 2018 30.00
Residence to Tug. City (Brixtone)-August 8, 2018 30.00
Brixtone to Terminal Van (riverside)-August 8, 2018 20.00
Riverside to CENRO Cabagan-August 8, 2018 60.00
CENRO Cabagan to Tug City (Riverside)-August 8, 2018 60.00
Riverside to Iguig Van Terminal-August 8, 2018 10.00
Terminal to Residence-Auguat 8, 2018 30.00

Total 420.00
Purpose: for reimbursement of travelling expenses:

I hereby certify the above expenses are incurres as they are necessary for the above-cited purpose that above goods and services
were acquired from parties not issuing receipts. And that I am fully aware that willful falcification of statements is punishable by
law.
Certified Correct: Noted By:

Signature:
Printed Name: MARY JOYCE R. AQUINO ATTY. ISMAEL T. MANALIGOD
Employee Chief, Legal Division
Date: August 10, 2018 Date: August 10, 2018
 Anne

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
Region II, Cagayan Valley
# 14 Dalan na Pagayaya, Regional Government Center, Carig, Tuguegarao City
Carig, Tuguegarao City, 3500
Tel. Nos. (078) 844-4344/8036 * 846-9129 (Fax) * e-mail: r2@denr.gov.ph

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2007-001 dated June 19, 2017

ATTY. ELLEN MICHELLE C. JAVIER

PARTICULARS
Residence to RTC Br. 5-September 11, 2018
RTC to Residence-September 11, 2018
Residence to CENRO Alcala-September 12, 2018
CENRO Alcala to Residence-September 12, 2018

Total
Purpose: for reimbursement of travelling expenses:

I hereby certify the above expenses are incurres as they are necessary for the above-cited purpose that above goods and services
were acquired from parties not issuing receipts. And that I am fully aware that willful falcification of statements is punishable b
law.
Certified Correct:

Signature:
Printed Name: ATTY. ELLEN MICHELLE B. JAVIER
Employee
Date: September 25, 2018
 Annex A

pines
ND NATURAL RESOURCES
Valley
Center, Carig, Tuguegarao City
ity, 3500
x) * e-mail: r2@denr.gov.ph

QUIRING RECEIPTS
dated June 19, 2017
Employee No.

AMOUT (P)
50.00
50.00
60.00
60.00

220.00

e above-cited purpose that above goods and services

hat willful falcification of statements is punishable by

Noted By:

ATTY. ISMAEL T. MANALIGOD

Chief, Legal Division
Date: September 25, 2018