Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: KIMBERLY R. ACDAL Employee No. 1002470 Name of Employee: KIMBERLY R. ACDAL Employee No. 1002470
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name KIMBERLY R. ACDAL ROMEO M. GIDUCOS, Ed.D Printed Name KIMBERLY R. ACDAL ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: KIMBERLY R. ACDAL Employee No. 1002470 Name of Employee: KIMBERLY R. ACDAL Employee No. 1002470
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name KIMBERLY R. ACDAL ROMEO M. GIDUCOS, Ed.D Printed Name KIMBERLY R. ACDAL ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: KIMBERLY R. ACDAL Employee No. 1002470 Name of Employee: KIMBERLY R. ACDAL Employee No. 1002470
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name KIMBERLY R. ACDAL ROMEO M. GIDUCOS, Ed.D Printed Name KIMBERLY R. ACDAL ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: APRIL JOY J. CAGAS Employee No. 1002711 Name of Employee: APRIL JOY J. CAGAS Employee No. 1002711
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name APRIL JOY J. CAJAS ROMEO M. GIDUCOS, Ed.D Printed Name APRIL JOY J. CAJAS ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: APRIL JOY J. CAGAS Employee No. 1002711 Name of Employee: APRIL JOY J. CAGAS Employee No. 1002711
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name APRIL JOY J. CAJAS ROMEO M. GIDUCOS, Ed.D Printed Name APRIL JOY J. CAJAS ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: CHRISTIAN JAVE ROBERT T. CAÑEDA Employee No. 1002980 Name of Employee: CHRISTIAN JAVE ROBERT T. CAÑEDA Employee No. 1002980
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods and 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 reciepts. And that I am fully aware that witful falsification of statements is services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of statements is
punishable by law. punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name CHRISTIAN JAVE ROBERT T. CAÑEDA ROMEO M. GIDUCOS, Ed.D Printed Name CHRISTIAN JAVE ROBERT T. CAÑEDA ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: CHRISTIAN JAVE ROBERT T. CAÑEDA Employee No. 1002980 Name of Employee: CHRISTIAN JAVE ROBERT T. CAÑEDA Employee No. 1002980
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods and 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 reciepts. And that I am fully aware that witful falsification of statements is services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of statements is
punishable by law. punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name CHRISTIAN JAVE ROBERT T. CAÑEDA ROMEO M. GIDUCOS, Ed.D Printed Name CHRISTIAN JAVE ROBERT T. CAÑEDA ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: CHRISTIAN JAVE ROBERT T. CAÑEDA Employee No. 1002980 Name of Employee: CHRISTIAN JAVE ROBERT T. CAÑEDA Employee No. 1002980
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods and 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 reciepts. And that I am fully aware that witful falsification of statements is services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of statements is
punishable by law. punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name CHRISTIAN JAVE ROBERT T. CAÑEDA ROMEO M. GIDUCOS, Ed.D Printed Name CHRISTIAN JAVE ROBERT T. CAÑEDA ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MAY B. CATUBIGAN Employee No. T100039 Name of Employee: MAY B. CATUBIGAN Employee No. T100039
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MAY B. CATUBIGAN ROMEO M. GIDUCOS, Ed.D Printed Name MAY B. CATUBIGAN ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MAY B. CATUBIGAN Employee No. T100039 Name of Employee: MAY B. CATUBIGAN Employee No. T100039
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MAY B. CATUBIGAN ROMEO M. GIDUCOS, Ed.D Printed Name MAY B. CATUBIGAN ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARY ANN T. ITIM Employee No. 1002517 Name of Employee: MARY ANN T. ITIM Employee No. 1002517
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARY ANN T. ITIM ROMEO M. GIDUCOS, Ed.D Printed Name MARY ANN T. ITIM ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARY ANN T. ITIM Employee No. 1002517 Name of Employee: MARY ANN T. ITIM Employee No. 1002517
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARY ANN T. ITIM ROMEO M. GIDUCOS, Ed.D Printed Name MARY ANN T. ITIM ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: DARIOUS F. PABIA Employee No. 6350560 Name of Employee: DARIOUS F. PABIA Employee No. 6350560
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name DARIOUS F. PABIA ROMEO M. GIDUCOS, Ed.D Printed Name DARIOUS F. PABIA ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: DARIOUS F. PABIA Employee No. 6350560 Name of Employee: DARIOUS F. PABIA Employee No. 6350560
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name DARIOUS F. PABIA ROMEO M. GIDUCOS, Ed.D Printed Name DARIOUS F. PABIA ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: DARIOUS F. PABIA Employee No. Name of Employee: DARIOUS F. PABIA Employee No.
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name DARIOUS F. PABIA ROMEO M. GIDUCOS, Ed.D Printed Name DARIOUS F. PABIA ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARIA CORAZON D. PAJO Employee No. 1003070 Name of Employee: MARIA CORAZON D. PAJO Employee No. 1003070
S BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above 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 reciepts. And that I am fully aware that witful falsification of goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of
statements is punishable by law. statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARIA CORAZON D. PAJO ROMEO M. GIDUCOS, Ed.D Printed Name MARIA CORAZON D. PAJO ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARIA CORAZON D. PAJO Employee No. 1003070 Name of Employee: MARIA CORAZON D. PAJO Employee No. 1003070
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above 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 reciepts. And that I am fully aware that witful falsification of goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of
statements is punishable by law. statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARIA CORAZON D. PAJO ROMEO M. GIDUCOS, Ed.D Printed Name MARIA CORAZON D. PAJO ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARIA CORAZON D. PAJO Employee No. Name of Employee: MARIA CORAZON D. PAJO Employee No.
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above 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 reciepts. And that I am fully aware that witful falsification of goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of
statements is punishable by law. statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARIA CORAZON D. PAJO ROMEO M. GIDUCOS, Ed.D Printed Name MARIA CORAZON D. PAJO ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: BEVERLY MAE C. PELIGRO Employee No. 6381041 Name of Employee: BEVERLY MAE C. PELIGRO Employee No. 6381041
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above 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 reciepts. And that I am fully aware that witful falsification goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification
of statements is punishable by law. of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name BEVERLY MAE C. PELIGRO ROMEO M. GIDUCOS, Ed.D Printed Name BEVERLY MAE C. PELIGRO ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: BEVERLY MAE C. PELIGRO Employee No. 6381041 Name of Employee: BEVERLY MAE C. PELIGRO Employee No. 6381041
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above 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 reciepts. And that I am fully aware that witful falsification goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification
of statements is punishable by law. of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name BEVERLY MAE C. PELIGRO ROMEO M. GIDUCOS, Ed.D Printed Name BEVERLY MAE C. PELIGRO ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: KIMBERLY CLAIRE S. TUMULIN Employee No. 1002715 Name of Employee: KIMBERLY CLAIRE S. TUMULIN Employee No. 1002715
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods and 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 reciepts. And that I am fully aware that witful falsification of statements is services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of statements is
punishable by law. punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name KIMBERLY CLAIRE S. TUMULIN ROMEO M. GIDUCOS, Ed.D Printed Name KIMBERLY CLAIRE S. TUMULIN ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: KIMBERLY CLAIRE S. TUMULIN Employee No. 1002715 Name of Employee: KIMBERLY CLAIRE S. TUMULIN Employee No. 1002715
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goods and 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 reciepts. And that I am fully aware that witful falsification of statements is services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of statements is
punishable by law. punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name KIMBERLY CLAIRE S. TUMULIN ROMEO M. GIDUCOS, Ed.D Printed Name KIMBERLY CLAIRE S. TUMULIN ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date
 Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARICAR P. COLON Employee No. 1002254 Name of Employee: MARICAR P. COLON Employee No. 1002254
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARICAR P. COLON ROMEO M. GIDUCOS, Ed.D Printed Name MARICAR P. COLON ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

Department of Education Department of Education

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATE 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 Employee: MARICAR P. COLON Employee No. 1002254 Name of Employee: Employee No. 1002254
Office BILAY NHS Office BILAY NHS
Division Butuan City Division Butuan City
Particulars Amount (₱) Particulars Amount (₱)

MEAL 250.00 MEAL 250.00

TOTAL 250.00 TOTAL 250.00

Purpose Purpose
MEAL EXPENSES MEAL EXPENSES

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful above goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful
falsification of statements is punishable by law. falsification of statements is punishable by law.

Certified correct: Noted by: Certified correct: Noted by:

Signature Signature

Printed Name MARICAR P. COLON ROMEO M. GIDUCOS, Ed.D Printed Name MARICAR P. COLON ROMEO M. GIDUCOS, Ed.D
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date