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Cert. of Expenses

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R epublic of the P hilippines

D epartment of E ducation
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL NORT E

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee BARBIE ANN C. LAWAGON Employee No. 1020486888
Office DEPARTMENT OF EDUCATION
Division AGUSAN DEL NORTE
Particulars Amount

Month of March 2020 300.00


Month of April 2020 300.00
Month of May 2020 300.00
Month of June 2020 300.00
Month of July 2020 300.00
Month of August 2020 300.00
Month of September 2020 300.00
Month of October 2020 300.00
Month of November 2020 300.00
Month of December 2020 300.00

TOTAL 3,000.00
Purpose Payment for the communication allowance from the Month of March to
December 2020.

I hereby 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 punishable by law.
Certified Correct: Noted by:
Signature
Printed Name BARBIE ANN C. LAWAGON ELVIRA A. HERNANDEZ
SST-I NAME & SIGNATURE OF SCHOOL HEAD
Date: 01/20/2021 Date: 01/20/2021

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