0% found this document useful (0 votes)
6 views3 pages

Certification of Expenses Not Requiring Receipts Untrained 010942

The document outlines the travel itinerary for JOHLIE C. ROSALES, a Teacher I from Luyongbaybay Elementary School, for a conference on February 21, 2025. It details transportation, meal expenses, and incidental costs totaling ₱2,095. The travel is certified as necessary for the service and approved by the immediate supervisor and agency head.

Uploaded by

Delina Kc
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
0% found this document useful (0 votes)
6 views3 pages

Certification of Expenses Not Requiring Receipts Untrained 010942

The document outlines the travel itinerary for JOHLIE C. ROSALES, a Teacher I from Luyongbaybay Elementary School, for a conference on February 21, 2025. It details transportation, meal expenses, and incidental costs totaling ₱2,095. The travel is certified as necessary for the service and approved by the immediate supervisor and agency head.

Uploaded by

Delina Kc
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
You are on page 1/ 3

Appendix 45

ITINERARY OF TRAVEL No.:

Entity Name: Date of Travel: February 21, 2025


Fund Cluste 1 Purpose Of Travel : TO ATTEND THE CONFERENCE
FEEDBACKING: ALPHA QA ON THE SCHOOLS HISTORY
Name: JOHLIE C. ROSALES MANUSCRIPTS.
Position: TEACHER I

School LUYONGBAYBAY ELEMENTARY SCHOOL


Places to be visited Time Means of Transportation Per Diem Others Total
Date
Transportation
(Destination) Departure Arrival Amount
02/ 21/ 25 Station to Bantayan Wharf 5:30 PM 6:30 PM Motor Boat 300 300
Breakfast 150 150
Bantayan Wharf to Sta. fe Port 4:00 AM 4:30 AM Tricycle 60 60
Sta. Fe Port to Hagnaya Port 4:30 AM 5:30 AM Ferry Boat 315 315
Hagnaya to Medellin 6:00 AM 6:00 AM 100 100
Lunch 150 150
Medellin to Hagnaya 1:00 AM 1:30 AM Tricycle 100 100
Incidental Expenses 80 80
Hagnaya Port to Sta. Fe Port 2:30 PM 3:00 PM Ferry Boat 330 330
Sta. fe Port to Bantayan Wharf 60 60
Dinner 150 150
Bantayan Wharf to Station 4:00 PM 5:00 PM Motor Boat 300 300

TOTAL 2095
I certify that: ( 1) I have reviewed the foregoing itinerary, Prepared By:
(2) the travel is necessary to the service,(3) the period JOHLIE CALAPAN ROSALES
covered is reasonable and (4) the expenses claimed are Signature Over Printed Name
proper .
Approved By:

GARDO A. PARAGSA VICTOR A. YBAÑEZ, DM, EdDD, PhD, CESE


Signature Over Printed Name Signaure over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
I certify that: (1) I have reviewed the foregoing itinerary, Signature Over Printed Name
Agency Name
VALENTIN AGUISANDA ELEMENTARY SCHOOL
ANNEX A
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001- dated June 19, 2017
Name of Employee JOHLIE A. ROSALES Employee No. 6083474
Office LUYONGBAYBAY ELEMENTARY SCHOOL

Division CEBU PROVINCE

Particulars Amount ((₱)

From Station to Bantayan Wharf (Pumpboat) 300

From Sta. Fe Port to Hagnaya Port 315

Meal Php 150 per meal ( 3 ) 450

Transpo Php 60 ( 2 ) Tricycle 120

Transpo Php 100 ( 2 ) Tricycle 200

Incidental Expenses 80 ( 1 ) 80

From Hagnaya Port to Sta. Fe Port 330

Bantayan Wharf to Station (Pumpboat) 300

TOTAL 2,095
Purpose
To attend the District Rollout of Untrained Grade One Teachers, Master Teachers, and School Heads on Multifactored
Assessment

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
punishable by law.
Certified Correct: Noted By:
Signature:
Printed Name:
JOHLIE CALAPAN ROSALES GARDO A. PARAGSA
Employee Immediate Supervisor
Date Date

You might also like