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CENRR

The document is a payment certification for transportation expenses incurred by employee Samantha S. Acera on March 3, 2025. It details a total amount of 300 pesos for hired tricycle and bagon services between Baquilan and Botolan North Integrated School. The certification includes signatures from both the employee and the immediate supervisor, affirming the accuracy of the expenses and the absence of receipts.

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Samantha Acera
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15 views1 page

CENRR

The document is a payment certification for transportation expenses incurred by employee Samantha S. Acera on March 3, 2025. It details a total amount of 300 pesos for hired tricycle and bagon services between Baquilan and Botolan North Integrated School. The certification includes signatures from both the employee and the immediate supervisor, affirming the accuracy of the expenses and the absence of receipts.

Uploaded by

Samantha Acera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Pursuant to COA Circular No.

2017-001 dated June 19, 2017

Name of Employee SAMANTHA S. ACERA Employee No.


Office POONBATO IS
Division ZAMBALES

Particulars Amount (P)


DATE: MARCH 03, 2025

Payment for : Hired Tricycle and bagon from:

Baquilan to Botolan North Integrated School 150


Botolan North Integrated School to Baquilan 150
TOTAL 300
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 SAMANTHA S. ACERA NIMFA D. DOMULOT
Employee Immediate Supervisor
Date 3-Mar-25 Date 3-Mar-25

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