This is to certify that on August 21,2018, I paid the sum of One Thousand Two

Hundred (Php.1200.00) for the gasoline expense incurred during the official travel
going to NAIA 2. Likewise, an amount of Seven Hundred (Php.700) was also
incurred as payment for RFID (Toll Fee) expense on August 22, 2018.

ITEMS COST
Gasoline Php. 1200
RFID (Toll Fee) Php. 700
TOTAL COST Php. 1900

I further certify that the itemized receipts for these payment have been lost or
misplaced and that this statement is given in lieu of that itemized receipts to obtain
reimbursement for these expenditures. I certify that the lost or misplaced receipts
or invoices represent legitimate expenses incurred. I also certify that I have not been
previously reimbursed for these expenses and am still currently due this
reimbursement.

NORWEL IMPERIAL
Driver