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RER Form for Expense Certification

This document is a certification from the Local Government Unit of San Jose in Occidental Mindoro Province. It certifies expenses that do not require receipts, as allowed by Commission on Audit Circular 2017-001. The certification includes the name and position of the certifying employee, the purpose of the expenses, items and amounts, a statement that the goods and services came from non-receipt issuing parties, and signatures from the certifying employee and their supervisor.

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Memvi Baurile
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206 views1 page

RER Form for Expense Certification

This document is a certification from the Local Government Unit of San Jose in Occidental Mindoro Province. It certifies expenses that do not require receipts, as allowed by Commission on Audit Circular 2017-001. The certification includes the name and position of the certifying employee, the purpose of the expenses, items and amounts, a statement that the goods and services came from non-receipt issuing parties, and signatures from the certifying employee and their supervisor.

Uploaded by

Memvi Baurile
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

LOCAL GOVERNMENT UNIT OF SAN JOSE LOCAL GOVERNMENT UNIT OF SAN JOSE

Province of Occidental Mindoro Province of Occidental Mindoro

CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19, 2017 Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee No. Name of Employee
Employee Employee No.
Office Office

Division Division

Particulars Amount (PhP) Particulars Amount (PhP)

TOTAL TOTAL

Purpose: Purpose:

I hereby certify that the above expenses are incurred as they are necessary for the 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 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 issuing receipts. And that I am fully aware that willful falsification of statements is
punishable by law. punishable by law.
Certified correct: Noted by: Certified correct: Noted by:
Signature Signature

Printed name MEMVILUZ L. BAURILE Printed MEMVILUZ L. BAURILE


name
Employee Immediate Supervisor Employee Immediate Supervisor
Date Date Date Date

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