You are on page 1of 1

Republic of the Philippines

Department of Education
Caraga Administrative Region
Butuan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

Name of Employee REX E. ROJAS Employee No.


Department of Education
Office
DIVISION OF DINAGAT ISLANDS
Division
Particulars Amount (₱)
November 19, 2017
NAIA 3 - Hotel 300.00
November 24, 2017
Hotel - NAIA 3 300.00

TOTAL 600.00
Purpose
To Attend National Climate Change Conference on November 20-21, 2017 and DRRM
Year-End Planning November 22-23, 2017 at Great Eastern Hotel, Quezon Avenue,
Quezon City.
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 REX E.ROJAS BENILDA E. EDER


Employee Immediate Supervisor
Date 12/1/2017 Date

You might also like