Department of Education Department of Education

(Agency Name) (Agency Name)

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017 Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Name of
CHESTER DON E. BAYOCOT Employee No. 6150054 CHESTER DON E. BAYOCOT Employee No. 6150054
Employee: Employee:
Office: Division of Zamboanga del Sur Office: Division of Zamboanga del Sur
Division: Management Division: Management
Particulars Amount (Php) Particulars Amount (Php)

TOTAL TOTAL
Purpose: Purpose:

I hereby certify that the above expenses are incurred as they are necessary for the above cited 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 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. fully aware that wilful falsification of statements is punishable by law.
Certified correct Noted by: Certified correct Noted by:

Signature Signature

Printed Name CHESTER DON E. BAYOCOT JEANELYN A. ALEMAN, Ph. D., LL. B. Printed Name CHESTER DON E. BAYOCOT JEANELYN A. ALEMAN, Ph. D., LL. B.
Employee Immediate Supervisor Employee Immediate Supervisor
Date: Date: Date: Date: