Department of Education

Region VII, Central Visayas

DIVISION OF CEBU PROVINCE

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee JEANETTE F. Employee No. 4531035

BANTAYA

Office SAMBOAN DISTRICT

Division DIVISION OF CEBU PROVINCE

Particulars Amount
Residence, Suba, Samboan, Cebu to Cebu City (Ceres Bus Terminal) P 200.00
14-Dec-17

Jeepney ride from Cebu South Terminal to Ecotech Center, Lahug, Cebu City P 9.00
(for travel to Sudlon) - December 14, 2017

Jeepney Ride from Ecotech Center, Sudlon, Lahug, Cebu City to P 9.00
Cebu South Bus Terminal

Ceres Bus from Cebu South Bus terminal PhP192.000

to Residence, Suba, Samboan, Cebu

TOTAL PhP410.000
Purpose
To attend the Fourth Executive Conference for FY 2017

I hereby certify that the above expenses are incurred as they are necessary for the above cited the purpose,
that above goods and services were acquired from parties not issuing receipts. And that I am fully aware that
willful falsification of statements is punishable by law.
Certified correct: Noted by:
Signature
JEANETTE F. BANTAYA VICTORIANO I. BORLA
Printed Name
 Employee Immediate Supervisor
Date 1/23/2017 1/23/2017