Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Entity Name: BAGOCBOC ES Fund Cluster : ________________
Date : December 16, 2024 RER No. : ___________________
RECEIVED from MARICHI A. PIIT
(Name)
_________ ADAS- I the amount
(Official Designation)
of Seven hundred pesos only (P700.00)
(In Words) (in Figures)
in payment for for fare (PAKYAW) during transport of SBFP supplies for Bagocboc ES
(Payments for subsistence, services,
with inclusive date on December 16, 2024
rental or transportation should show inclusive dates,
from Bagocboc ES to Opol Central School, (18 km.) / Opol Central School to Bagocboc ES.
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature: Wilfredo Jr. T. Balmocena/Driver
Address: Inayao, Bagocboc, Opol Misamis Oriental
WITNESS
Name/Signature: MANOLITO A. TEJERO Head Teacher-III
Address: Bagocboc, Opol, Misamis Oriental
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