ANNEX A

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE-PANGASINAN
AB, Fernandez West, Dagupan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee ISRAEL E. ESPINOZA Employee No. OSEC-DENRB-LMI

Office DENR CENRO DAGUPAN

Division REGULATION AND PERMITTING SECTION

Particulars Date Amount (P )
To conduct inspection on Lot. 1498, Brgy. Nagpalangan, Binmaley for FPA Jan.8 PhP260.00

To conduct inspection for FPA in Calasiao & Mangatarem Jan.9 PhP450.00

Posting and geotagging photos og IGPSA at Alcala, Pangasinan

Jan.10-11 PhP840.00

To conduct inspection in Brgy. Nagpalangan and Brgy. Basing, Binmaley for FPA Jan. 15 PhP290.00

Inspection lots for FPA in Brgy. Botao, Sta. Barbara, Brgy. Real, Urbiztondo and San
Jan.16 PhP450.00
Carlos City

Assist in the conduct of relocation survey in Ambalangan Dalin, San Jacinto

Jan.17 PhP440.00

To notify all bidders in Pindangan Estate, Alcala, Panagsinan (5 brgys) Jan.18 PhP790.00

Inventory of unapplied lots in Brgy. Baligi, Laoac Jan. 22-24 PhP820.00

To conduct relocation survey re: Silvino Vs. Soriano Jan.25 PhP260.00

1.To followp documents for FPA in Brgy. Nagpalangan

Jan. 29 PhP290.00
2. To identify the lot of Ms. Julie Pimentel as result of PLS survey in Mangatarem
TOTAL 4,890.00

Purpose

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

Signature

Printed Name ISRAEL E. ESPINOZA GRACIANO A. BOQUIREN

LMI Chief, Regulation and Permitting Section
 Employee Immediate Supervisor
Date Date
 ANNEX A

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE-PANGASINAN
AB, Fernandez West, Dagupan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee ISRAEL E. ESPINOZA Employee No. OSEC-DENRB-LMI

Office DENR CENRO DAGUPAN
Division REGULATION AND PERMITTING SECTION
Particulars Date Amount (P )
To conduct inspection for the issuance of Survey Authority on Lot 10582 at 06-Jun-19 270.00
Brgy. Nagsaing, Calasiao, Pangasinan

To notify all bidders in Pindangan Estate, Alcala, Panagsinan (5 brgys) 07-Jun-19 760.00

Posting and geotagging photos of IGPSA at Alcala, Pangasinan

19-Jun-19 760.00

Posting of applications in different municipalities w/n my area of

19-Jun-19 660.00
jurisdiction - Calasiao, Bayambang, Bautista and Alcala

Inspection of lots applied at IGPSA at Pindangan Estate, Alcala 21-Jun-19 760.00

To personally delivered the Magliba case Terminal Report to the Regional

24-Jun-19 1300.00
Office.
To conduct inspection for the issuance of Survey Authority on Lot 10582 at
25-Jun-19 270.00
Brgy. Nagsaing, and posting at Brgy. Nalsian, Calasiao, Pangasinan

Inspection of lots applied at IGPSA at Pindangan Estate, Alcala 26-Jun-19 760.00

Inspection of lots applied for RFPAs within my area of jurisdiction

27-Jun-19 660.00
(Bayambang)

28-Jun-19 760.00
Posting of Notice of Bidding and inform all applicants in Pindangan Estate
TOTAL 6,960.00
Purpose

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

Signature

Printed Name ISRAEL E. ESPINOZA GRACIANO A. BOQUIREN

LMI Chief, Regulation and Permitting Section
Employee Immediate Supervisor
Date Date
 ANNEX A

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE-PANGASINAN
AB, Fernandez West, Dagupan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee ISRAEL E. ESPINOZA Employee No. OSEC-DENRB-LMI

Office DENR CENRO DAGUPAN
Division REGULATION AND PERMITTING SECTION
Particulars Date Amount (P )
conduct mediation conference in Bayambang and San Carlos City Sep. 13 400.00

Conduct mediation at Brgy. Tonton, Lingayen re: Limon vs Bataoil Sep. 14 370.00

Sep. 19 1120.00
To attend dialogue for MOPA
To attend relocation survey as agrred in Layson vs. Quitlong Sep. 20 420.00

To attend mediation in Pias, Mapandan Sep.21 300.00

To conduct ADR proceedings at DENR-1, SFCLU Sep.27 1120.00

To conduct ADR proceedings at DENR-1, SFCLU Sep.28 1120.00

To attend meeting for PPI Accomplishment Oct.15 1120.00

To conduct mediation in the case of Rous in Manaoag Oct.19 340.00

TOTAL 6,310.00
Purpose

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

Signature

Printed Name ISRAEL E. ESPINOZA GRACIANO A. BOQUIREN

LMI Chief, Regulation and Permitting Section
 Employee Immediate Supervisor
Date Date
 ANNEX A

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE-PANGASINAN
AB, Fernandez West, Dagupan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee ISRAEL E. ESPINOZA Employee No. OSEC-DENRB-LMI

Office DENR CENRO DAGUPAN
Division REGULATION AND PERMITTING SECTION
Particulars Date Amount (P )
Investigation and inspection of lots applied for IGPSA Feb. 07 840.00

Posting and pulling out of Notice of Applications in Baustista and

Feb. 08 740.00
Bayambang

Investigation on the dropping Survey Claimant at Brgy. Quesban, calasiao Feb. 12 270.00

Investigation on the dropping Survey Claimant at Brgy. Tonton, Lingayen Feb. 13 260.00

Relocation Survey at Brgy. Osmeña, Basista Feb. 14 740.00

Relocation Survey at Brgy.Alitaya, Mangaldan Feb. 15 320.00

Conduct investigation on applied lots for IGPSA (5 BARANGAYS)

Feb. 22 840.00

To submit/posting of application in Mangaldan Feb. 27 320.00

For re-investigation on the applied lots for IGPSA (geotagging) Feb. 28 840.00

March.1 740.00
Post Notice of applications in Pasibe West, Urbiztondo
TOTAL 5,910.00
Purpose

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

Signature

Printed Name ISRAEL E. ESPINOZA GRACIANO A. BOQUIREN

LMI Chief, Regulation and Permitting Section
 Employee Immediate Supervisor
Date Date
 ANNEX A

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE-PANGASINAN
AB, Fernandez West, Dagupan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee ISRAEL E. ESPINOZA Employee No. OSEC-DENRB-LMI

Office DENR CENRO DAGUPAN
Division REGULATION AND PERMITTING SECTION
Particulars Date Amount (P )
Attend dialogue in Pindangan Centro, Alcala, Pangasinan Nov.08 720.00

Submission lacking requirements to SMD for compliance Nov.12 920.00

Assisted in the conduct of PLS survey at Bautista, Pangasinan Nov.14 720.00

Lecturer in a brief discussion of Free Patent Applications during the

Nov.15 720.00
creation of Mangaterem Task Force

Conducted investigation in the PLS Survey at Nagsaing Calasiao Nov.19 360.00

Conducted investigation in the PLS Survey at Ambonao Calasiao Nov.20 360.00

Conducted investigation in the PLS Survey atCabiloocan Calasiao Nov.21 360.00

Conducted investigation of lots subject to IGPS application / inform Nov.22 720.00

bidders at the upcoming bidding at Pindangan Estate

TOTAL 4,880.00
Purpose

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

Signature

Printed Name ISRAEL E. ESPINOZA ENGR

LMI Chief, Regulation and Permitting Section
Employee Immediate Supervisor
Date Date