Certification of Expenses Not Requiring Receipts

ANNEX A
OFFICE OF DSWD - KALAHI CIDSS NCDDP-AF

Agency
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee KRISTINE C. BUÑI Employee No.

No.
Office KALAHI CIDSS OFFICE
Division
Particulars Amount
Official Station - Brgy. Poloy-Poloy 35
02/15/2022 TRICYCLE
Brgy. Poloy-Poloy - Official Station 35
Official Station - Brgy. Taguisa 75
6/3/2022 TRICYCLE
Bry. Taguisa - Official Station 75
03/16/2022
Official Station - Brgy. Kalamongog SKYLAB
150
Bry. Kalamongog - Official Station 150
Official Station - Brgy. Barurao 2 40
05/19/2022 TRICYCLE
Brgy. Barurao 2 - Official Station 40
Official Station - Brgy. Kalamongog 150
05/25/2022 SKYLAB
Bry. Kalamongog - Official Station 150
Official Station - Brgy. Christianuevo 200
05/26/2022 SKYLAB
Brgy. Christianuevo - Official Station 200
Official Station - Brgy. Salaman 30
9/6/2022 TRICYCLE
Brgy. Salaman - Official Station 30
06/14/2022 TRICYCLE
06/21/2022
Official Station - Brgy. Poloy-Poloy TRICYCLE
35
Official Station - Brgy. Nuling 75
06/23/2022 TRICYCLE
Brgy. Nuling - Official Station 75
06/24/2022 TRICYCLE
06/29/2022
Official Station - Brgy. Bolebak SKYLAB
150
Brgy. Bolebak - Official Station 150
Official Station - Brgy. Bolebak 150
5/7/2022 SKYLAB
6/7/2022 Official Station - Brgy. Basak SKYLAB 175

Brgy. Basak - Official Station 175
7/7/2022 SKYLAB
Official Station - Brgy. Basak 175
12/7/2022 SKYLAB
Brgy. Basak - Official Station 175
Official Station - Brgy. Barurao 1 30
07/18/2022 TRICYCLE
Brgy. Barurao 1 - Official Station 30
Official Station - Brgy. Poblacion 3 30
07/19/2022 TRICYCLE
Brgy. Poblacion 3 - Official Station 30
Official Station - Brgy. Bolebak 150
07/20/2022 SKYLAB
07/21/2022
Official Station - Brgy. Tibpuan TRICYCLE
25
Brgy. Tibpuan - Official Station 25
Official Station - Brgy. Ragandang 75
1/8/2022 SKYLAB
Brgy. Ragandang - Official Station 75
10/8/2022 SKYLAB
Official Station - Brgy. Nuling 75
08/19/2022 TRICYCLE
Brgy. Nuling - Official Station 75
TOTAL 4,590.00
Purpose:
Poloy-Poloy , Basak- To conduct PPM Meeting, Negotiation Meeting
Taguisa, - To develop/beautify kalahi dopted area at DMCMES
Kalamongog - Site Visit at Sitio Kiaray and conduct SET
Barurao 2, Christianuevo - To Conduct SET, PPM Meeting, BAC Meeting
Salaman , Poloy-Poloy- To conduct SET and conduct meeting for O&M Group
Nuling- To conduct PPM meeting & To conduct BAC Meeting, Brgy. Orientation
Bolebak - To conduct BAC & PPM meeting and Nego Meeting, Opening and Eval of Bid
Barurao 1- To conduct negotiation Meeting,
Poblacion 3- To conduct Opening & Evaluation of Bid
Tibpuan- To conduct Opening & Eval Meeting
Ragandang- To conduct BAC & PPM Meeting
I hereby certify that the above expenses are incurred as they are necessary for the above cited purposes,
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 KRISTINE C. BUÑI LORELIE A. REYES
Employee MCT-AREA COORDINATOR
Date Date
Official Station - Brgy. Salangsang
Brgy. Salangsang - Official Station
Official Station - Brgy. Basak
Bry. Basak - Official Station
Official Station - Brgy. Taguisa
Brgy. Hall - 3 Sitio(Center1, Apos & Paga)
3 Sitio - Brgy. Hall
Brgy. Taguisa - Official Station
Official Station - Brgy. Basak
Bry. Basak - Official Station
Official Station - Brgy. Capilan
Brgy. Capilan - Official Station
Official Station - Brgy. Salangsang
Brgy. Salangsang - Official Station
Official Station - Brgy. Nuling
Brgy. Nuling - Official Station
Official Station - Brgy. Capilan
Brgy. Capilan - Official Station
APPENDIX A
No.:
Date:
OFFICE OF THE LGU KALAHI – CIDSS
NAME:
Position: KC - OFFICE
Purpose of Travel:
Place to be visited Time Means of Allowed Expenses

DATE: Total
From Departure Arrival TransportationTransportation
Official Station - Brgy. New Calinog 7:00 AM 9:00 AM 375.00 375.00
10/1/2022 SKYLAB
Brgy. New Calinog - Official Station 3:30 PM 5:00 PM 375.00 375.00
Official Station - Brgy. Capilan 7:00 AM 8:30 AM 350.00 350.00
1/2/2022 SKYLAB
Brgy. Capilan - Official Station 3:30 PM 5:00 PM 350.00 350.00
Official Station - Brgy. Villamonte 7:00 AM 9:00 AM 400.00 400.00
2/2/2022 SKYLAB
Brgy. Villamonte - Official Station 3:00 PM 5:00 PM 400.00 400.00
3/2/2022 SKYLAB
Brgy. Villamonte - Official Station 3:00 AM 5:00 AM 400.00 400.00
4/2/2022 SKYLAB
Brgy. Capilan - Official Station 3:30 PM 5:00 PM 350.00 350.00
Official Station - Brgy. Keytodac 6:00 AM 7:30 AM 350.00 350.00
8/2/2022 SKYLAB
Brgy. Keytodac - Official Station 3:30 PM 5:00 PM 350.00 350.00
Official Station - Brgy. New Calinog 6:30 AM 8:00 AM 375.00 375.00
9/2/2022 SKYLAB
Brgy. New Calinog - Official Station 3:30 PM 5:00 PM 375.00 375.00
Official Station - Brgy. Poloy-Poloy 8:00 AM 8:30 AM 35.00 35.00
02/15/2022 TRICYCLE
Brgy. Poloy-Poloy - Official Station 10:30AM 11:00 AM 35.00 35.00
Official Station - Brgy. Bululawan 6:00 AM 7:00 AM 300.00 300.00
02/16/2022 SKYLAB
Brgy. Bululawan - Official Station 4:00 AM 5:00 PM 300.00 300.00
Official Station - Brgy. Salangsang 6:00 AM 7:30 AM 300.00 300.00
02/17/2022 SKYLAB
Brgy. Salangsang - Official Station 3:30 PM 5:00 PM 300.00 300.00
Official Station - Brgy. Taguisa 8:00 AM 8:30 AM 75.00 75.00
6/3/2022 TRICYCLE
Brgy. Taguisa - Official Station 4:30 AM 5:00 PM 75.00 75.00
Official Station - Brgy. Kalamongog 8:40 AM 9:30 AM 150.00 150.00
03/16/2022 SKYLAB
Brgy. Kalamongog - Official Station 3:15 PM 4:00PM 150.00 150.00
Official Station - Brgy. Salangsang 8:00 AM 9:30 AM 300.00 300.00
03/23/2022 SKYLAB
Brgy. Salangsang - Official Station 3:30 AM 5:00 PM 300.00 300.00
Official Station - Brgy. Barurao 2 2:00 PM 2:20 PM 40.00 40.00
05/19/2022 TRICYCLE
Brgy. Barurao 2 - Official Station 4:40 PM 5:00 PM 40.00 40.00
Official Station - Brgy. Kalamongog 6:00 AM 6:30 AM 150.00 150.00
05/25/2022 SKYLAB
Brgy. Kalamongog - Official Station 4:30PM 5:00 PM 150.00 150.00
Official Station - Brgy. Christianuevo 8:00 AM 8:45 AM 200.00 200.00
05/26/2022 SKYLAB
Brgy. Christianuevo - Official Station 4:15 PM 5:00 PM 200.00 200.00
Official Station - Brgy. Salaman 8:00 AM 8:30 AM 30.00 30.00
9/6/2022 TRICYCLE
Brgy. Salaman - Official Station 4:30PM 5:00 PM 30.00 30.00
06/14/2022 TRICYCLE
06/21/2022 TRICYCLE
Official Station - Brgy. Nuling 1:00PM 1:30 PM 75.00 75.00
06/23/2022 TRICYCLE
06/23/2022 TRICYCLE
Brgy. Nuling - Official Station 12:00PM 12:30 PM 75.00 75.00
06/24/2022 TRICYCLE
Official Station - Brgy. Bolebak 9:00 AM 9:30 AM 150.00 150.00
06/29/2022 SKYLAB
Brgy. Blebak - Official Station 4:30PM 5:00PM 150.00 150.00
Official Station - Brgy. Bolebak 1:00 PM 1:45 AM 150.00 150.00
5/7/2022 SKYLAB
Brgy. Bolebak - Official Station 4:15PM 5:00PM 150.00 150.00
Official Station - Brgy. Basak 9:00 AM 9:30 AM 175.00 175.00
6/7/2022 SKYLAB
Brgy. Basak - Official Station 4:30PM 5:00PM 175.00 175.00
7/7/2022 SKYLAB
Brgy. Christianuevo - Official Station 4:15PM 5:00PM 200.00 200.00
9/7/2022 SKYLAB
Brgy. Capilan - Official Station 10:30 AM 11:00 AM 350.00 350.00
Official Station - Brgy. Basak 8:00 AM 8:30 AM 175.00 175.00
12/7/2022 SKYLAB
Brgy. Basak - Official Station 4:30PM 5:00PM 175.00 175.00
Official Station - Brgy. Barurao 1 1:00PM 1:20 PM 30.00 30.00
07/18/2022 TRICYCLE
Brgy. Barurao 1 - Official Station 4:40 PM 5:00 PM 30.00 30.00
Official Station - Brgy. Poblacion 3 1:00PM 1:10 PM 30.00 30.00
07/19/2022 TRICYCLE
Brgy. Poblacion 3 - Official Station 4:50 PM 5:00 PM 30.00 30.00
Official Station - Brgy. Bolebak 8:00 AM 8:30 AM 150.00 150.00
07/20/2022 SKYLAB
Brgy. Bolebak - Official Station 4:30PM 5:00PM 150.00 150.00
Official Station - Brgy. Tibpuan 8:00 AM 8:10 AM 25.00 25.00
07/21/2022 SKYLAB
Brgy. Tibpuan - Official Station 4:50PM 5:00PM 25.00 25.00
07/28/2022 SKYLAB
Brgy. Villamonte - Official Station 3:00PM 5:00PM 400.00 400.00
07/29/2022 SKYLAB
Brgy. Capilan - Official Station 3:30PM 5:00PM 350.00 350.00
Official Station - Brgy. Ragandang 1:00 PM 1:30 PM 75.00 75.00
1/8/2022 SKYLAB
Brgy. Ragandang - Official Station 4:30PM 5:00PM 75.00 75.00
4/8/2022 SKYLAB
5/8/2022 SKYLAB
10/8/2022 SKYLAB
Brgy. Christianuevo - Official Station 3:45 PM 4:30PM 200.00 200.00
12/8/2022 SKYLAB
Brgy. Capilan - Official Station 12:00 PM 1:30PM 350.00 350.00
08/17/2022 SKYLAB
08/18/2022 SKYLAB
Official Station - Brgy. Nuling 8:00 AM 8:30 AM 75.00 75.00
08/19/2022 TRICYCLE
Brgy. Nuling - Official Station 4:30PM 5:00PM 75.00 75.00
08/24/2022 SKYLAB
Brgy. Capilan - Official Station 12:00 PM 1:30PM 350.00 350.00
TOTAL 18390.00
Prepared By: APPROVED:
FREDERICK F. CELESTIAL
Municipal Financial Analyst Municipal Mayor
I hereby certify that (1) I have reviewed the foregoing itinerary (2) the travel is necessary to the services (3)
the covered period is reasonable; (4) expenses claim are proper.
LORELIE A. REYES
MCT-AREA COORDINATOR
is necessary to the services (3)

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ANNEX A

OFFICE OF DSWD - KALAHI CIDSS NCDDP-AF

Name of Employee KRISTINE C. BUÑI Employee No.

6/7/2022 Official Station - Brgy. Basak SKYLAB 175

OFFICE OF THE LGU KALAHI – CIDSS

Place to be visited Time Means of Allowed Expenses

Prepared By: APPROVED:

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