DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION

DIVISION OF CITY SCHOOLS DIVISION OF CITY SCHOOLS

GENERAL SANTOS CITY GENERAL SANTOS CITY

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

Name of Name of
Employee Employee No.: Employee Employee No.:

Office Office
Division General Santos City Division General Santos City
PARTICULARS AMOUNT PARTICULARS AMOUNT

Purpose: Purpose:

I hereby certify that the above expenses are incurred as they are necessary for the 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 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 statement is issuing receipts. And that I am fully aware that willful falsification of statement is
punishable by law. punishable by law.
Certified correct: Noted by: Certified correct: Noted by:
Signature Signature

Printed Name Printed Name

Employee Employee
Date Date Date Date

DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION

DIVISION OF CITY SCHOOLS DIVISION OF CITY SCHOOLS
GENERAL SANTOS CITY GENERAL SANTOS CITY

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

Name of Name of
Employee No.: Employee No.:
Employee Employee
Office Office
Division General Santos City Division General Santos City
PARTICULARS AMOUNT PARTICULARS AMOUNT

Purpose: Purpose:

I hereby certify that the above expenses are incurred as they are necessary for the 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 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 statement is issuing receipts. And that I am fully aware that willful falsification of statement is
punishable by law. punishable by law.
Certified correct: Noted by: Certified correct: Noted by:
Signature Signature

Printed Name Printed Name

Employee Employee
Date Date Date Date