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  • Cagayan Valley Medical Center: Certification of Expenses Not Requiring Receipts

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    Reia Rueco
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    The document contains certifications from three employees of Cagayan Valley Medical Center claiming expenses without receipts totaling 400 pesos each for transportation costs related to travel. The certifications state that the expenses were necessary for work purposes and incurred from vendors that do not provide receipts. The employees and their supervisors sign to verify the expenses.

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    The document contains certifications from three employees of Cagayan Valley Medical Center claiming expenses without receipts totaling 400 pesos each for transportation costs related to travel. The certifications state that the expenses were necessary for work purposes and incurred from vendors that do not provide receipts. The employees and their supervisors sign to verify the expenses.

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    156 views10 pages

    Cagayan Valley Medical Center: Certification of Expenses Not Requiring Receipts

    Uploaded by

    Reia Rueco
    The document contains certifications from three employees of Cagayan Valley Medical Center claiming expenses without receipts totaling 400 pesos each for transportation costs related to travel. The certifications state that the expenses were necessary for work purposes and incurred from vendors that do not provide receipts. The employees and their supervisors sign to verify the expenses.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 10

    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE REIA DOREEN M. RUECO EMPLOYEE NO.


    OFFICE BUDGET SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Airport (Tricycle) 50.00
    Airport to Hotel (Taxi) 150.00
    Hotel to Bus terminal (Taxi) 150.00
    Bus terminal to Residence (Tricycle) 50.00

    TOTAL 400.00
    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 wilful falsification of statements is
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name REIA DOREEN M. RUECO DAISY A. ANDAL, MPA
    Employee Immediate Supervisor
    Date Date

    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE REIA DOREEN M. RUECO EMPLOYEE NO.


    OFFICE BUDGET SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Airport (Tricycle) 50.00
    Airport to Hotel (Taxi) 150.00
    Hotel to Bus terminal (Taxi) 150.00
    Bus terminal to Residence (Tricycle) 50.00

    TOTAL 400.00
    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 wilful falsification of statements is
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name REIA DOREEN M. RUECO DAISY A. ANDAL, MPA
    Employee Immediate Supervisor
    Date Date
    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE MICHELLE C. SORIANO EMPLOYEE NO.


    OFFICE CASHIER SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Airport (Tricycle) 50.00
    Airport to Hotel (Taxi) 150.00
    Hotel to Bus terminal (Taxi) 150.00
    Bus terminal to Residence (Tricycle) 50.00

    TOTAL 400.00
    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 wilful falsification of statements is
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name MICHELLE C. SORIANO EDWIN C. BALISI
    Employee Immediate Supervisor
    Date Date

    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE MICHELLE C. SORIANO EMPLOYEE NO.


    OFFICE CASHIER SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Airport (Tricycle) 50.00
    Airport to Hotel (Taxi) 150.00
    Hotel to Bus terminal (Taxi) 150.00
    Bus terminal to Residence (Tricycle) 50.00

    TOTAL 400.00
    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 wilful falsification of statements is
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name MICHELLE C. SORIANO EDWIN C. BALISI
    Employee Immediate Supervisor
    Date Date
    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE RINA JOY T. ANTONIO EMPLOYEE NO.


    OFFICE ACCOUNTING SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Airport (Tricycle)
    Airport to Hotel (Taxi)
    Hotel to Bus terminal (Taxi)
    Bus terminal to Residence (Tricycle)

    TOTAL
    Purpose

    I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goo
    services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statemen
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name RINA JOY T. ANTONIO JASSEL S. TAMAYAO, CPA
    Employee Immediate Supervisor
    Date Date

    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE RINA JOY T. ANTONIO EMPLOYEE NO.


    OFFICE ACCOUNTING SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Airport (Tricycle)
    Airport to Hotel (Taxi)
    Hotel to Bus terminal (Taxi)
    Bus terminal to Residence (Tricycle)

    TOTAL
    Purpose

    I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goo
    services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statemen
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name RINA JOY T. ANTONIO JASSEL S. TAMAYAO, CPA
    Employee Immediate Supervisor
    Date Date
    NTER

    NG RECEIPTS
    ne 19, 2017

    AMOUNT (Php)
    50.00
    150.00
    150.00
    50.00

    400.00

    ve cited purpose, that above goods and


    at wilful falsification of statements is

    Noted by:

    ASSEL S. TAMAYAO, CPA


    Immediate Supervisor

    NTER

    NG RECEIPTS
    ne 19, 2017
    AMOUNT (Php)
    50.00
    150.00
    150.00
    50.00

    400.00

    ve cited purpose, that above goods and


    at wilful falsification of statements is

    Noted by:

    ASSEL S. TAMAYAO, CPA


    Immediate Supervisor
    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE ALYSSA D. TULIAO EMPLOYEE NO.


    OFFICE ACCOUNTING SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Bus terminal (Tricycle)
    Bus Terminal to Hotel (Taxi)
    Hotel to Bus terminal (Taxi)
    Bus terminal to Residence (Tricycle)

    TOTAL
    Purpose

    I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goo
    services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statemen
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name ALYSSA D. TULIAO JASSEL S. TAMAYAO, CPA
    Employee Immediate Supervisor
    Date Date

    CAGAYAN VALLEY MEDICAL CENTER

    CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS


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

    NAME OF EMPLOYEE ALYSSA D. TULIAO EMPLOYEE NO.


    OFFICE ACCOUNTING SECTION
    DIVISION FINANCE
    PARTICULARS AMOUNT (Php)
    Residence to Bus terminal (Tricycle)
    Bus Terminal to Hotel (Taxi)
    Hotel to Bus terminal (Taxi)
    Bus terminal to Residence (Tricycle)

    TOTAL
    Purpose

    I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above goo
    services were acquired from parties not issuing receipts. And that I am fully aware that wilful falsification of statemen
    punsihable by law.
    Certified correct: Noted by:
    Signature
    Printed Name ALYSSA D. TULIAO JASSEL S. TAMAYAO, CPA
    Employee Immediate Supervisor
    Date Date
    NTER

    NG RECEIPTS
    ne 19, 2017

    AMOUNT (Php)
    50.00
    150.00
    150.00
    50.00

    400.00

    ve cited purpose, that above goods and


    at wilful falsification of statements is

    Noted by:

    ASSEL S. TAMAYAO, CPA


    Immediate Supervisor

    NTER

    NG RECEIPTS
    ne 19, 2017
    AMOUNT (Php)
    50.00
    150.00
    150.00
    50.00

    400.00

    ve cited purpose, that above goods and


    at wilful falsification of statements is

    Noted by:

    ASSEL S. TAMAYAO, CPA


    Immediate Supervisor

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