Republic of the Philippines

Department of Education
Region I
Schools Division of San Carlos City
SPEAKER EUGENIO PEREZ NATIONAL AGRICULTURAL SCHOOL
Roxas Blvd., San Carlos City, Pangasinan

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee JONALYN A. CANCINO Employee No.

Office DEPED/SEPNAS

Division SAN CARLOS CITY

Particulars Amount (₱) 250.00

AM Snacks: Coffee 20

Bread 15

Lunch: 1.5 cups of rice 30

2 pcs. fried chicken 80

Chopseuy 35

Water 20

PM Snacks: Spaghetti 30

Coke 20

TOTAL 250

Purpose: For NLC meal allowance.

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 JONALYN A. CANCINO MARLOW V. GREGORIO
Employee Immediate Supervisor
Date July 10, 2024 Dat July 10, 2024
e
 Republic of the Philippines
Department of Education
Region I
Schools Division of San Carlos City
SPEAKER EUGENIO PEREZ NATIONAL AGRICULTURAL SCHOOL
Roxas Blvd., San Carlos City, Pangasinan

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee MIRASOL R. ZACARIAS Employee No. 4233969

Office DEPED/SEPNAS

Division SAN CARLOS CITY

Particulars Amount (₱) 250.00

AM Snacks: Coffee 20

Bread 15

Lunch: 1.5 cups of rice 30

2 pcs. fried chicken 80

Chopseuy 35

Water 20

PM Snacks: Spaghetti 30

Coke 20

TOTAL 250

Purpose: For NLC meal allowance.

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 MIRASOL R. ZACARIAS MARLOW V. GREGORIO
Employee Immediate Supervisor
Date July 10, 2024 Dat July 10, 2024
e
 Republic of the Philippines
Department of Education
Region I
Schools Division of San Carlos City
SPEAKER EUGENIO PEREZ NATIONAL AGRICULTURAL SCHOOL
Roxas Blvd., San Carlos City, Pangasinan

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

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

Name of Employee BENSE M. RESNGIT Employee No. 4233923

Office DEPED/SEPNAS

Division SAN CARLOS CITY

Particulars Amount (₱) 250.00

AM Snacks: Coffee 20

Bread 15

Lunch: 1.5 cups of rice 30

2 pcs. fried chicken 80

Chopseuy 35

Water 20

PM Snacks: Spaghetti 30

Coke 20

TOTAL 250

Purpose: For NLC meal allowance.

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 BENSE M. RESNGIT MARLOW V. GREGORIO
Employee Immediate Supervisor
Date July 10, 2024 Dat July 10, 2024
e