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 ________________________________________________