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Certification of Expenses Not Requiring Receipts: Philippine Statistics Authority
Certification of Expenses Not Requiring Receipts: Philippine Statistics Authority
TOTAL 570.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 1100.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 1610.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 2730.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 3410.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 3750.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 4460.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL 5056.00
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717
Republic of the Philippines
Philippine Statistics Authority
CAMARINES SUR
TOTAL
PURPOSE
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 falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name EMILY D. ASENCE MARIA RIZALY A. AGUSTIN
Employee Immediate Supervisor
Date: Date:
/wsm092717