Professional Documents
Culture Documents
Department of Education
Region VII, Central Visayas
SCHOOLS DIVISION OF BOHOL
DISTRICVT OF GARCIA-HERNANDEZ
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
DESIREE M. AMOT STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
ANGEL MAE M. TADLIP STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
MARYMAE G. OCHAVEZ STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
RENIEL D. MAGDAYO STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
JOHN KENNETH P. ERASMO STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
EMERSON S. BAUTISTA STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
CHRISTINE JANE PAGARAN STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
LOUISE MAE CADIZ STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
MARC GLEN P. AROY STUDENT
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
Name of Employee
JOHN MC RAE D. RACINES 6075600
Employee No.
Office Name DEPARTMENT OF EDUCATION
Division DIVISION OF BOHOL
District DISTRICT OF GARCIA-HERNANDEZ
Particular Amount (₱)
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.
Signature
APPENDIX B
I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel Order/
Itinerary of Travel No. 22061669 dated June 24, 2022 under condition indicated below.
Evidence of Travel:
/X/ Travel Order
/X/ Used Tickets
/X/ Certificate of Appearance / locator slip
/ / Other deviation as explain
Respectfully submitted:
JANNETH L. TUMANDA
Master Teacher I
On evidence and information of which I have the knowledge, the travel was actually
undertaken.
Approved: