DEPED – DIVISION OF SAMAR

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-008 Dated June 19, 2017

Name of Employee No.

Employee GRACE G. MANICANI
Office
Division SAMAR
Particulars Amount (₱)
Fare:
Calingonan ES to Canticum ES 100.00
Canticum ES to Calingonan ES 100.00

TOTAL 200.00
Purpose transportation

Transporting of goods for the School-Based Feeding Program (SBFP).

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 willful satisfaction of statements is punishable by law.

Certified Correct: Noted by:

Signature
GRACE G. MANICANI MYRNA R. MACAPAGAT, PhD
Employee Immediate Supervisor
Date Date