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Certification-of-Expenses-Not-Requiring-Receipts-COA Sample

Certification of Expenses not Requiring Receipts for COA

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0% found this document useful (0 votes)
133 views

Certification-of-Expenses-Not-Requiring-Receipts-COA Sample

Certification of Expenses not Requiring Receipts for COA

Uploaded by

shynnequiver
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
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ANNEX A

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS


Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee : Employee No.
Office
Division
Particulars Amount (₱)
Sep. 25, 2024 Residence to Bago Waiting Area Tricycle 12.00
Bago Waiting Area to Bacolod Bus 30.00
City Mall to SM Jeepney 14.00
SM to BREDCO Tricycle 25.00
Sep. 27, 2024 Bredco to Terminal Exit Tricycle 25.00
To Libertad (Terminal Bago) Jeepney 14.00
Terminal to Bago Roadstar 30.00
Bago Terminal to Residence Tricycle 12.00
TOTAL 162.00
Purpose of the Travel: Workshop on the Upskilling and Reskilling of Technical Assistance

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 reciepts. And that I am fully aware that witful falsification of statements is punishable by law.

Certified correct: Noted by:

Signature

Printed Name
Employee Immediate Supervisor
Date Date

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