Republic of the Philippines
Province of Cebu
Municipality of Borbon
SANGGUNIANG KABATAAN - BARANGAY BINGAY
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name KHETCHIE MARIE C. SERAFIN Emp. No. SK Bingay
Office SK - Brgy. Bingay
Address Bingay, Borbon, Cebu
PARTICULARS AMOUNT
DATE DESTINATION TIME TYPE OF
TRANSPORTATION
FROM TO DEPARTURE ARRIVAL
3/1/2023 station NBT 4:48am bus 120.00
NBT Golden Peak Hotel taxi 75.00
3/3/2023 Golden Peak Hotel NBT 5:30pm taxi 75.00
NBT station 8:30pm bus 120.00
TOTAL 390.00
PURPOSE: OFFICIAL BUSNESS
I hereby certify that the above expenses are incurred as they are necessary for the above cited purposes, that above goods and services
were acquired from parties not issuing receipts. And that that I am fully aware that willful falsification of statements is punishable by law.
Certified Correct: Noted by:
Signature
Printed Name KHETCHIE MARIE C. SERAFIN MA. STELLA A. SUMAYANG
Employee Immediate Supervisor
Date 5/4/2023 Date 5/4/2023