Cenrr NLC
Cenrr NLC
TOTAL 250.00
Purpose: Conducted National Learning Camp
I hereby certify that the above expenses are incurred as they are necessary for the above
cited purpose, that the above goods and services were acquired from parties 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 CHARITA BAJADO-GALLEGO ANTONIO A. EVARROLA
Employee Immediate Supervisor
Date: Date:
DEPARTMENT OF EDUCATION
EASTERN SAMAR DIVISION
GEN. MACARTHUR CENTRAL ELEMENTARY SCHOOL
TOTAL 250.00
Purpose: Conducted National Learning Camp
I hereby certify that the above expenses are incurred as they are necessary for the above
cited purpose, that the above goods and services were acquired from parties 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 CHARITA BAJADO-GALLEGO ANTONIO A. EVARROLA
Employee Immediate Supervisor
Date: Date:
DEPARTMENT OF EDUCATION
EASTERN SAMAR DIVISION
GEN. MACARTHUR CENTRAL ELEMENTARY SCHOOL
TOTAL 250.00
Purpose: Conducted National Learning Camp
I hereby certify that the above expenses are incurred as they are necessary for the above
cited purpose, that the above goods and services were acquired from parties 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 CHARITA BAJADO-GALLEGO ANTONIO A. EVARROLA
Employee Immediate Supervisor
Date: Date: