Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

PROVINCIAL ENVIRONMENT AND NATURAL RESOURCES OFFICE-PANGASINAN
Dagupan City

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee JULIUS BALINGUAY Employee No.

Office DENR-CENRO Dagupan City
Division Monitoring and Enforcement Section (MES)
Particulars Date Amount (P )
Manned the Forest Product Monitoring Station at Brgy. Casilagan, May 3 &
PhP670.00
Mangatarem, Pangasinan. 7, 2021
Conducted Lawin patrolling, monitoring and surveillance within the May 5, PhP1,085.00
forestland of Brgy. Laoag, Aguilar, Pangasinan. 11, 17
Conducted lawin patrolling and surveillance at Brgy. Ninoy and Brgy. May 4& PhP870.00
Manlocboc, Aguilar, Pangasinan. 19, 2021
TOTAL: PhP
2,625.00
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 WILSON D. PINKIHAN FOR. CAMILO C. CARINO

Forest Ranger For. III/Chief MES
Employee Immediate Supervisor
Date Date
 Republic of the Philippines
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
Community Environment and Natural Resources Office
Region I, Dagupan City

ITINERARY OF TRAVEL
NAME WILSON D. PINKIHAN
POSITION: FOREST RANGER
OFFICIAL STATION: DENR-CENRO Dagupan City
PURPOSE OF TRAVEL: Please see attached travel orders.
TIME Means Allowable Expenses
DATE Places to be visited Departure Arrival of Transportation Per Diems Daily TOTAL
A.M. P.M. Transportation AllowancesAMOUNT
5/3/2021 Off. Sta.- Brgy. Casilagan, Mang. 6:20 minibus 100.00 100.00
back to Off.Station 6:30 minibus 100.00 - 135.00 235.00
5/4/2021 Off. Sta.- Brgy. Manlocboc, Aguilar 6:15 minibus 150.00 - - 150.00
back to Off.Station 6:00 minibus 150.00 135.00 285.00
5/5/2021 Off. Sta.- Brgy. Laoag, Aguilar 6:30 minibus/tri hired 120.00 120.00
back to Off.Station 6:32 minibus/tri hired 120.00 135.00 255.00
5/7/2021 Off. Sta.- Brgy. Casilagan, Mang. 7:35 minibus/tri hired 100.00 100.00
back to Off.Station 6:34 minibus/tri hired 100.00 135.00 235.00
5/11/2021 Off. Sta.- Brgy. Laoag, Aguilar 6:30 minibus/tri hired 100.00 100.00
back to Off.Station 6:54 minibus/tri hired 100.00 135.00 235.00
5/17/2021 Off. Sta.- Brgy. Laoag, Aguilar 6:15 minibus/tri hired 120.00 - 120.00
back to Off.Station 6:23 minibus/tri hired 120.00 - 135.00 255.00
5/19/2021 Off. Sta.- Brgy. Ninoy, Aguilar 7:45 minibus/tri hired 150.00 - 150.00
back to Off.Station 6:34 minibus/tri hired 150.00 135.00 285.00
TOTAL 2625.00

I Hereby certify that (1) I have reviewed foregoing itineary

(2) the travel is necessary to the service (3) the period
covered is reasonable (4) the expense claim proper.

Prepared by:
Recommending approval: WILSON D. PINKIHAN
Official or Employee
Approved:
CAMILO C. CARINO
FORSETER III/CHIEF, MES
FORESTER FRANK VINCENT D. DANGLOSE
OIC, CENR Officer

The OIC, PENRO

(Agency Head)
and the conditions indicated below: 13-Mar-21
 (Date)

I hereby certify that I have completed the travel authorized in the itinerary of travel dated ___________________

( x ) Strictly in accordnace with the approved itinerary.

( ) Cut short as explained below. Escess payments in the amount of Php ______ was refunded on ________
O.R. No. ____________________

( ) Extended as explained below. Additional itinerary was submitted.

( ) Other deviation as explained below.

Explanation or justification _____________________________________________________________________

Evidences of travel attached hereto: Certificates of Appearances and approved Travel Orders.

Respectfully yours:

WILSON D. PINKIHAN
Officer or Employee

Evidence and information of which I have knowledge the travel was usually undertaken.

CAMILO C. CARIÑO
FORESTER III/CHIEF, MES