Department of Education

Region XII
Division of Sarangani
Alabel, Sarangani Province

DANAO INTEGRATED SCHOOL

EAST MALUNGON

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of
ALEX V. REPONTE Employee No.
Employee
Office DANAO INTEGRATED SCHOOL

Division SARANGANI
Particulars
Means of
Date From To Transportation Amount
12/17/2020 Danao IS Poblacion Malungon Motorcycle 200.00
Poblacion Malungon GSC Van 100.00
GSC Alabel Multicab 25.00
Alabel GSC Multicab 25.00
GSC Malungon Van 100.00
Malungon Danao IS Motorcycle 200.00

TOTAL 650.00
Purpose:
Out Seminar- Workshop for Self Learning Module (SLM) Writers in English. Reading Coordinators and Read at Home Worksheet Writers

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.
Employee Certified Correct: Noted By:

Signature:

Printed Name: ALEX V. REPONTE ELMER F. CALCABEN ELMER F. CALCABEN

Teacher P-I P-I

Date Date Date