Certification of Expenses No Requiring Receipts - Sirgene

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ANNEX A

Agency NameCATANDUANES STATE UNIVERSITY


PANGANIBAN CAMPUS
Panganiban, Catanduanes

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee GENE V. URGEL Employee No.
Office Accounting Services
Division
Particular Amount (₱)
Transportation fare per Travel Order No. 493
Van – Payo to Virac 150.00
Van – Virac to Payo 150.00

TOTAL 300.00
Purpose
To attend Seminar on Year-End Adjustment and Other Tax Updates at Queen Maricel Inn, Virac, Catanduanes.

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 no issuing receipts. And that I am fully aware that willful falsification of statements
is punishable by law.
Certified Correct Noted by:
Noted by:
Signature

Printed name GENE V. URGEL MADILYN V. BORROMEO


Employee Immediate Supervisor
Date Date

ANNEX A
CATANDUANES STATE UNIVERSITY
PANGANIBAN CAMPUS
Panganiban, Catanduanes
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee GENE V. URGEL Employee No.
Office Accounting Services
Division
Particular Amount (₱)
Tricy fare per Travel Order No. 493
Tricy – To Terminal 20.00
Tricy – To CatSU Main Campus 35.00
Tricy – To Terminal 35.00
Tricy – To Residence 20.00

TOTAL 110.00
Purpose
To attend Seminar on Year-End Adjustment and Other Tax Updates at Queen Maricel Inn, Virac, Catanduanes.

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 no issuing receipts. And that I am fully aware that willful falsification of statements is
punishable by law.
Certified Correct Noted by:
Signature

Printed name GENE V. URGEL MADILYN V. BORROMEO


Employee Immediate Supervisor
Date Date

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