Cerr Deped
Cerr Deped
Cerr Deped
Office
Division
Particulars Amount (₱)
TOTAL
Purpose
I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above good and services were acquired from partied not issuing receipts. And that I
am fully aware that willful falsification of statements is punishable by law.
Signature
Printed Name