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RER Form and Receipt Template

The document is a template for a reimbursement expense receipt, including sections for entity name, fund cluster, date, and receipt number. It requires details about the amount received, the payee, and witnesses. The format is designed for recording official transactions and signatures.
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0% found this document useful (0 votes)
18 views1 page

RER Form and Receipt Template

The document is a template for a reimbursement expense receipt, including sections for entity name, fund cluster, date, and receipt number. It requires details about the amount received, the payee, and witnesses. The format is designed for recording official transactions and signatures.
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

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

in payment for in payment for

PAYEE PAYEE
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________

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

123

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