REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REGION V
DIVISION OF MASBATE
District of Balud North

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001- dated June 19, 2017
Employee
Name of Employee BENJIE R. REFIL
No. 4820062
Office MAPILI ELEMENTARY SCHOOL
Division SDO MASBATE PROVINCE
Date Particulars Amount (₱)
4/20/2022 Mapili to Balud CS 250.00
Balud CS to Mapili 250.00
Lunch 150.00

TOTAL 650.00
Purpose
To attend the 3rd quarter District Monitoring, Evaluation and Adjustment Conference.

I hereby certify that the above expenses are incurred 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 wilful
falsification of statements is punishable by law.
Certified Correct: Noted By:
Signature:

Printed Name:
BENJIE R. REFIL HENRY V. SARZUELO
Employee Immediate Supervisor
Date 4/20/2022 Date 4/20/2022