Reimbursement Expense Receipt Template

The document is a reimbursement expense receipt template used for recording payments for transportation services. It includes fields for entity name, fund cluster, date, amount, purpose of payment, and signatures of the payee and witness. The template allows for two separate entries for different reimbursements.

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Reimbursement Expense Receipt Template

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Florida Sajor

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Download as XLS, PDF, TXT or read online on Scribd

Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________ Entity Name: _________________ Fund Cluster : ________________
Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from _______ RECEIVED from

(Name) (Name)

_____the amount _ the amount

(Official Designation) (Official Designation)

of One Thousand Five Hundred Pesos (P1500) of ________________________________ (P)

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

in payment for transportation services in payment for _______________________________________________

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

Manila Airport to Whitewoods Hotel, Silang, Cavite (Apr 15, 2024)

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

in attendance to Senior High School Curriculum Review for Specialized Subjects (Apr 15-19, 2024) _________________________________________________________
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 ________________________________________________

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Reimbursement Expense Receipt Template

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Reimbursement Expense Receipt Template

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Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

RECEIVED from _____________________________________________ RECEIVED from ______________________________________

_____________________________________________________the amount _________________________________________________ the amount

of One Thousand Five Hundred Pesos (P1500) of __________________________________________ (P__________)

in payment for transportation services in payment for _______________________________________________

Manila Airport to Whitewoods Hotel, Silang, Cavite (Apr 15, 2024)

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RECEIVED from _______ RECEIVED from

_____the amount _ the amount

of One Thousand Five Hundred Pesos (P1500) of ________________________________ (P)