ANNEX A

Republic of the Philippines

DEPARTMENT OF SCIENCE AND TECHNOLOGY
Philippine Atmospheric, Geophysical and Astronomical
Services Administration (PAGASA)

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017

Name of
Employee No.
Employee
Office
Division
Particulars Amount (₱)
Going to C.O. : - -

From C.O. :

xxxxxxx
TOTAL

Purpose:

Travel expenses incurred in attendance to MHIBFEWS Training Course for Chief

Meteorological Officers and Officers-In-Charge of NCR-PRSD

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

Certified correct: Noted by:

Signature

Printed Name LORENZO A. MORON, M. Sc.

WSC, NCR-PRSD
Date Date