ANNEX A

Surigao State College of Technology

DEL CARMEN CAMPUS
P-6, Brgy San Jose, Del Carmen, Siargao Islands, Surigao del Norte
ssctdelcarmen@gmail.com

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017

JONATHAN A. LITANG Employee

Name of Employee
No.
Office Surigao State College of Technology

Division Surigao City

Particulars Amount ()
Taxi fare Airport to hotel 250.00
Taxi fare Hotel to airport 250.00
Motorhire Airport to venue 200.00
Tricycle fare Pier to home 30.00

TOTAL 730.00
Purpose

I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above good and services were acquired from partied 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 JONATHAN A. LITANG CARLOS H. DONOSO, Ed.D.

Employee Immediate Supervisor
Date Date
 ANNEX A

Surigao State College of Technology

DEL CARMEN CAMPUS
P-6, Brgy San Jose, Del Carmen, Siargao Islands, Surigao del Norte
ssctdelcarmen@gmail.com

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017

JONATHAN A. LITANG Employee

Name of Employee
No.
Office Surigao State College of Technology

Division Surigao City

Particulars Amount ()
Taxi fare - Home to Pier 30.00
Taxi fare - Pier to Home 30.00

TOTAL 60.00
Purpose

I hereby certify that the above expenses are incurred as they are necessary for the above cited
purpose, that above good and services were acquired from partied 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 JONATHAN A. LITANG CARLOS H. DONOSO, Ed.D.

Employee Immediate Supervisor
Date Date