Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
CITY SCHOOLS DIVISION OF CABUYAO
MAMATID SENIOR HIGH SCHOOL
BRGY. MAMATID CITY OF CABUYAO, LAGUNA

November 5, 2021

MA. NIǸA S. GACHE

TIC/ Head Teacher III
Mamatid Senior High School
Mamatid Cabuyao City, Laguna

Madam:

Good day!

This is to request for the reimbursement of my communication expenses/allowance for the

period of 3 months (April 2021 to May 2021) as stated in DepEd Order No. 035, series of
2021.

This further certifies that the communication expenses indicated in the attached details of
claim were incurred in the performance of my official duties and responsibilities.

Attached herewith are the copies of proof of purchase/payment of prepaid

load/postpaid/internet subscription.

Thank you.

Sincerely yours,

ALEX S. SANCHEZ
Teacher III

Approved:

MA. NIǸA S. GACHE

TIC/ Head Teacher III

Address: Brgy. Mamatid City of Cabuyao, Laguna

Telephone No.: (049) 8566-6384
Email Address: 342355@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
CITY SCHOOLS DIVISION OF CABUYAO
MAMATID SENIOR HIGH SCHOOL
BRGY. MAMATID CITY OF CABUYAO, LAGUNA

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: MAMATID SENIOR HIGH SCHOOL Fund Cluster :

Date : __________________________ RER No. :_____________
___________________

RECEIVED from MAMATID SENIOR __ HIGH SCHOOL______

(Name)

N/A ________ the amount

(Official Designation)

NINE HUNDRED PESOS__________________________ (P 900,00_)

(In Words) (In Figures)

in payment for Communication Expenses for the period of____________

(Payments for subsistence, services,

April 01, 2021 to June 30, 2021 .

Rental or transportation should show inclusive dates,

Incurred in the performance of official duties and responsibilities______

Purpose, distance, inclusive points of travel, etc.)

PAYEE

Name/Signature : ALEX S. SANCHEZ

Address : Blk 21 Lt 3 New Sta Rosa Homes, Dita, Sta. Rosa City, Laguna.

WITNESS

Name/Signature : APRIL JOY P. RECIDO

Address : BRGY, BANAY-BANAY CABUYAO CITY, LAGUNA _

Address: Brgy. Mamatid City of Cabuyao, Laguna

Telephone No.: (049) 8566-6384
Email Address: 342355@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
CITY SCHOOLS DIVISION OF CABUYAO
MAMATID SENIOR HIGH SCHOOL
BRGY. MAMATID CITY OF CABUYAO, LAGUNA

DETAILS OF CLAIM
As per DepEd Order No. 035 s. 2021
(Maximum of Php300 per Month)

MONTH/YEAR AMOUNT
APRIL 2021 Php 300
MAY 2021 Php 300
JUNE 2021 Php 300
TOTAL AMOUNT Php 900.00

Certified True and Correct:

ALEX S. SANCHEZ
Teacher III

Approved for payment:

MA. NIǸA S. GACHE

TIC/ Head Teacher III

Address: Brgy. Mamatid City of Cabuyao, Laguna

Telephone No.: (049) 8566-6384
Email Address: 342355@deped.gov.ph