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    NLC Rer Ar Cenrr Etc

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    JO GRACE BARDAJE
    This document is a certification form for expenses incurred by a DEPED (Department of Education) employee in the Division of Samar that do not require receipts. The form includes fields for the employee name and number, office, division, particulars of the expenses, amounts, purpose, and signatures of the employee and immediate supervisor certifying the expenses were properly incurred. It notes that willful falsification of statements is punishable by law.

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    © All Rights Reserved
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    NLC Rer Ar Cenrr Etc

    Uploaded by

    JO GRACE BARDAJE
    124 views1 page
    This document is a certification form for expenses incurred by a DEPED (Department of Education) employee in the Division of Samar that do not require receipts. The form includes fields for the employee name and number, office, division, particulars of the expenses, amounts, purpose, and signatures of the employee and immediate supervisor certifying the expenses were properly incurred. It notes that willful falsification of statements is punishable by law.

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    Nlc Rer Ar Cenrr Etc

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    This document is a certification form for expenses incurred by a DEPED (Department of Education) employee in the Division of Samar that do not require receipts. The form includes fields for the employee name and number, office, division, particulars of the expenses, amounts, purpose, and signatures of the employee and immediate supervisor certifying the expenses were properly incurred. It notes that willful falsification of statements is punishable by law.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    124 views1 page

    NLC Rer Ar Cenrr Etc

    Uploaded by

    JO GRACE BARDAJE
    This document is a certification form for expenses incurred by a DEPED (Department of Education) employee in the Division of Samar that do not require receipts. The form includes fields for the employee name and number, office, division, particulars of the expenses, amounts, purpose, and signatures of the employee and immediate supervisor certifying the expenses were properly incurred. It notes that willful falsification of statements is punishable by law.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    DEPED – DIVISION OF SAMAR DEPED – DIVISION OF SAMAR

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
    Pursuant To COA Circular No. 2017-008 Dated Juneb 19, 2017
    Pursuant To COA Circular No. 2017-008 Dated Juneb 19, 2017
    Name of Employee Employee No.
    Name of Employee Employee No.

    Office
    Office
    Division
    Division
    Particulars Amount (P)
    Particulars Amount (P)

    TOTAL
    TOTAL

    Purpose Purpose

    I hereby certify that the above expenses are incurred as they are I hereby certify that the above expenses are incurred as they are
    necessary for the above DEPEDcited purpose,
    – DIVISION OF SAMARthat above, goods and necessary for the above cited purpose,
    DEPED that
    – DIVISION OF above,
    SAMAR goods and services
    services were acquired from the parties not issuing receipts, and that were acquired from the parties not issuing receipts, and that I am fully
    I am fully aware that willful OF
    CERTIFICATION falsification
    EXPENSES NOT of statements
    REQUIRING RECEIPTSis punishable by aware that willful falsification
    CERTIFICATIONofOFstatements
    EXPENSES NOTis punishable by law.
    REQUIRING RECEIPTS
    law. Pursuant To COA Circular No. 2017-008 Dated Juneb 19, 2017 Pursuant To COA Circular No. 2017-008 Dated Juneb 19, 2017
    Certified Correct: Noted
    Name of Employee Certified Correct:Employee No. Noted Name of Employee Employee No.

    Signature
    Signature
    Office Office
    Employee Immediate Supervisor
    Division Employee Immediate Supervisor Division

    Particulars Amount (P) Date:Particulars Date: Amount (P)


    Date: Date:

    TOTAL TOTAL

    Purpose Purpose

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

    Certified Correct: Noted Certified Correct: Noted


    Signature Signature
    Employee Immediate Supervisor Employee Immediate Supervisor
    Date: Date: Date: Date:

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