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Reimbursement Expense Receipt Template

The document contains multiple templates for reimbursement expense receipts, detailing the necessary fields for recording the entity name, date, amount, purpose of payment, payee, and witness signatures. Each template includes placeholders for specific information related to the reimbursement process. The receipts are designed to ensure proper documentation for expenses incurred by individuals in an official capacity.
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0% found this document useful (0 votes)
7 views5 pages

Reimbursement Expense Receipt Template

The document contains multiple templates for reimbursement expense receipts, detailing the necessary fields for recording the entity name, date, amount, purpose of payment, payee, and witness signatures. Each template includes placeholders for specific information related to the reimbursement process. The receipts are designed to ensure proper documentation for expenses incurred by individuals in an official capacity.
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

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________


Date : January 18, 2025 RER No. : ___________________

GEWARESEL T. CARLOS, PhD


RECEIVED from ______________________________________
(Name)
PRINCIPAL III
_________________________________________________ the amount
(Official Designation)
SIX HUNDRED SEVENTY TWO PESOS 672.00
of __________________________________________ (P__________)
(In Words) (in Figures)
ADD ONS ON BAGGAGE
in payment for _______________________________________________
(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
CEBU PACIFIC / CEB GO
Name/Signature __________________________________________
MANILA NINOY AQUINO INTERNATIONAL AIRPORT
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________


Date : January 31, 2025 RER No. : ___________________

RECEIVED from ______________________________________


(Name)
Adas II
_________________________________________________ the amount
(Official Designation)

of __________________________________________ (P__________)
(In Words) (in Figures)

in payment for _______________________________________________


(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

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

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

123
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________


Date : _______________________

RECEIVED from ______________________________________


(Name)

_________________________________________________ the amount


(Official Designation)

of __________________________________________ (P__________)
(In Words) (in Figures)

in payment for _______________________________________________


(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

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

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

123
Appendix 46

MBURSEMENT EXPENSE RECEIPT

Fund Cluster : ________________


RER No. : ___________________

m ______________________________________
(Name)

_______________________________ the amount


esignation)

__________________________ (P__________)
(In Words) (in Figures)

_________________________________________
(Payments for subsistence, services,

_______________________________________
l or transportation should show inclusive dates,

_______________________________________
pose, distance, inclusive points of travel, etc.)
PAYEE
_____________________________________
_____________________________________

WITNESS
_____________________________________
_____________________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________


Date : RER No. : ___________________

RECEIVED from ______________________________________


(Name)

_________________________________________________ the amount


(Official Designation)

of __________________________________________ (P__________)
(In Words) (in Figures)

in payment for _______________________________________________


(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

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

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

123

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