Certification of Expenses Not Requiring Receipts: Name of Employee Employee No. Office Division Particulars Amount (PHP)
Certification of Expenses Not Requiring Receipts: Name of Employee Employee No. Office Division Particulars Amount (PHP)
TOTAL
Purpose
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 statement is punishable by law.
Certified correct: Noted by:
Signature
Printed Name
Employee Immediate Supervisor
Date Date