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ANNEX A
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CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
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Pursuant to COA Circular No. 2017-001- dated June 19, 2017
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Name of EmployeeEmployee No.
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Office
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DivisionGENERAL TRIAS CITY
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ParticularsAmount ((₱)
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TOTAL -
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Purpose:
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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.
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Certified Correct:Noted By:
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Signature:
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Printed Name:
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Master Teacher IIPrincipal I
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EmployeeImmediate Supervisor
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DateDate
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