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Reimbursement Expense Receipt Form

This document contains a reimbursement expense receipt form for Baganga National High School Fund Cluster. The form includes fields for the entity name, date, receipt number, name and designation of the person receiving payment, amount received in words and figures, purpose of payment, and sections for signatures and addresses of the payee and witness.

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0% found this document useful (0 votes)
368 views1 page

Reimbursement Expense Receipt Form

This document contains a reimbursement expense receipt form for Baganga National High School Fund Cluster. The form includes fields for the entity name, date, receipt number, name and designation of the person receiving payment, amount received in words and figures, purpose of payment, and sections for signatures and addresses of the payee and witness.

Uploaded by

line
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
  • Reimbursement Expense Receipt

Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name:Baganga National High School Fund Cluster : ________________ Entity Name:Baganga National High School Fund Cluster : ________________

Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from _______________________________________ RECEIVED from _______________________________________


(Name) (Name)

_________________________________________________ the amount _________________________________________________ the amount


(Official Designation) (Official Designation)

of ___________________________________________ (P__________) of ___________________________________________ (P__________)


(In Words) (in Figures) (In Words) (in Figures)

in payment for in payment for


(Payments for subsistence, services, (Payments for subsistence, services,

rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________

WITNESS WITNESS
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________

Appendix 46
Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
REIMBURSEMENT EXPENSE RECEIPT
Fund Cluster : ________________
Fund Clus

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