ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee MA. RHEA M. RAFOLS No. 6099359
Office TAMPAAN INTEGRATED SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Rajah Park Hotel
Rajah Park Hotel to Aloguinsan 800

800
Purpose : To attend a division seminar/training (Division Capacity Building of English,
Science, and Mathematics Teachers)

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name MA. RHEA M. RAFOLS RUSELL S. TABOADA

Employee Immediate Supervisor
Date: January 02, 2024 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee KERNELY V. DUPAL-AG No. 4557644
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Cebu Business Hotel
800.00
Cebu Business Hotel to Aloguinsan

800.00
Purpose : To attend a division seminar/training (Division Capacity Building for English,
Science and Mathematics Teachers)

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name KERNELY V. DUPAL-AG PATERNO A. VERANO

Employee Immediate Supervisor
Date: January 2, 2025 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
PUJ fare from Carcar to Sister''s of Mary Boystown, 25.00
Minglanilla

Purpose : To attend the Regional Training and Accreditation in Sports Coaching(was

informed late at about 9:30 a.m and has to be registered after lunch)

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: January 25, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Sister''s of Mary Boystown, Minglanilla to Carcar, Cebu 25.00

Purpose : To attend the Regional Training and Accreditation in Sports Coaching

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: January 24, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Carcar, Cebu to Aloguinsan 150.00

Purpose : To attend the Regional Training and Accreditation in Sports Coaching

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: January 24, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Motorcycle fare from Aloguinsan to Carcar City 150.00
(no available PUB because of the Sto. Niño's "Hubo")

Purpose : To attend the Regional Training and Accreditation in Sports Coaching

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: January 25, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo City- 35.00
Toledo City to CEBECO III 8.00
CEBECO III to Toledo City 8.00
Toledo City to Aloguinsan 35.00

86.00
Purpose : To canvass meter base @ CEBECO III, supplies and printer

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: February 27, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo City- 35.00
Toledo City to CEBECO III 8.00
CEBECO III to Toledo City 8.00
Toledo City to Aloguinsan 35.00

86.00
Purpose : To re-canvass socket meter base @ CEBECO III and supplies/equipments

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: February 28, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Ayds, Toledo City 35.00
Ayds, Toledo City to Pag-ibig, Toledo 8.00
Pag-ibig, Toledo to KJL 8.00
KJL Toledo to Toledo PUJ Terminal 8.00
Toledo PUJ Terminal to D & J, Pinamungajan 25.00
Pinamungajan to Aloguinsan 15.00
99.00
Purpose : To canvass supplies/ materials for the school and remit contribution to Pag-ibig
for the newly hired teachers

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: August 8, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Cebu City to Pinamungajan 120.00
Pinamungajan to Aloguinsan 15

135.00
Purpose : To process fidelity bond application of School Head and Disbursing Officer

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: March 5, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee NATHANIEL I. MAGTAGAD No. 4792390
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo PUJ Terminal 35.00
Toledo PUJ Terminal to Prince Warehouse 8.00
Prince Warehouse to Toledo PUJ Terminal 8.00
Toledo PUJ Terminal to Aloguinsan 35.00

86.00
Purpose : To assist in purchasing curtains for the function Room and others

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name NATHANIEL I. MAGTAGAD MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: October 16, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee NATHANIEL I. MAGTAGAD No. 4792390
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Cebu City 100.00
Cebu City to Aloguinsan 100.00

200.00
Purpose : To purchase materials and equipments

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name NATHANIEL I. MAGTAGAD MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: October 11, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo PUJ Terminal 35.00
Toledo PUJ Terminal to KJL, Sangi 8.00
KJL, Sangi to Pag-ibig, Toledo 8.00
Pag-ibig, Toledo to Toledo PUJ Terminal 8.00
Toledo PUJ Terminal to Aloguinsan 35.00

94.00
Purpose : To purchase materials office supplies and remit check payments to Pag-ibig

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS MERARI B. HERNANE, Dev. Ed., D.

Employee Immediate Supervisor
Date: August 22, 2019 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Cebu City 150.00
Cebu City to Aloguinsan 150.00

300.00
Purpose : To remit cash payment for scrap at Disbursing Office and submit check
payment for supplier

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS PATERNO A. VERANO

Employee Immediate Supervisor
Date: March 29, 2022 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee HERMIS G. SUSAS No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo City 70.00
Toledo City to Balamban, Cebu 50.00
Balamban, Cebu to Toledo City 50.00
Toledo City to Aloguinsan 70.00

240.00
Purpose : To submit OPI folders of the Best Implementers for Aloguinsan District

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name HERMIS G. SUSAS PATERNO A. VERANO

Employee Immediate Supervisor
Date: October 26, 2021 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee NATHANIEL I. MAGTAGAD No. 4372355
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo City 70.00
Toledo City to Balamban, Cebu 50.00
Balamban, Cebu to Toledo City 50.00
Toledo City to Aloguinsan 70.00

240.00
Purpose : To submit OPI folders of the Best Implementers for Aloguinsan District

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name NATHANIEL I. MAGTAGAD PATERNO A. VERANO

Employee Immediate Supervisor
Date: October 26, 2021 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee RAFAELINA N. ARDA No. 4793285
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Aloguinsan to Toledo City 70.00
Toledo City to Balamban 50.00
Balamban to Tuburan 70.00

190.00
Purpose : To attend workshop on Semi-Annual report on the Physical Count of
Inventories @ CTU, Tuburan

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name RAFAELINA N. ARDA PATERNO A. VERANO

Employee Immediate Supervisor
Date: June 20, 2022 Date
 ANNEX A

DEPED-CEBU PROVINCE
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee
Employee RAFAELINA N. ARDA No. 4793285
Office ALOGUINSAN NATIONAL HIGH SCHOOL
Division CEBU PROVINCE
Particulars Amount (P)
Tuburan to Balamban 70.00
Balamban to Toledo City 50.00
Toledo City to Aloguinsan 70.00

190.00
Purpose : To attend workshop on Semi-Annual report on the Physical Count of
Inventories @ CTU, Tuburan

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 fully aware that willful falsification of statements is punishbale by law.
Certified Correct: Noted by:

Signature

Printed Name RAFAELINA N. ARDA PATERNO A. VERANO

Employee Immediate Supervisor
Date: June 21, 2022 Date