REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REGION V

DIVISION OF MASBATE
 
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001- dated June 19, 2017

Name of Employee JEFFERSON B. DEL ROSARIO Employee No. 58280890

Office  Eastern Capsay Integrated School, Baleno District
Division  Masbate Province
Particulars Amount (₱)
Habal-Habal fare from Terminal to Baleno Central ₱ 250.00
Van from Potoson, Baleno to Masbate Terminal 180.00

               
               
   
   
TOTAL ₱ 430.00
Purpose

To attend the District School Management Monitoring and Evaluation (SMEA) Technology Orientation at Baleno Central School
Function Hall, Poblacion, Baleno, Masbate.

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.

  Certified Correct: Noted By:

Signature:    

Printed Name: JEFFERSON B. DEL ROSARIO REZEL M. LUMBAO

Employee Immediate Supervisor

  Date 01/03/2022 Date 01/03/2022
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
REGION V

DIVISION OF MASBATE
 
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001- dated June 19, 2017

Name of Employee MARJORIE DG. LAURIO Employee No. 5824784

Office  Eastern Capsay Integrated School, Baleno District
Division  Masbate Province
Particulars Amount (₱)
Habal-Habal fare from Baleno Central School to Eastern Capsay Integrated School ₱ 280.00

               
               
   
   
TOTAL ₱ 280.00
Purpose

Attended the District School Management Monitoring and Evaluation (SMEA) Technology Orientation at Baleno Central School
Function Hall, Poblacion, Baleno, Masbate.

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.

  Certified Correct: Noted By:

Signature:    

Printed Name: MARJORIE DG. LAURIO REZEL M. LUMBAO

Employee Immediate Supervisor

  Date 01/03/2022 Date 01/03/2022