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Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name : ____SKSU ISULAN_________ Fund Cluster : ___101 Travel Expenses_____


Date : ______________________________________ RER No. : __________________________________

RECEIVED from _____________________________________________________________________


(Name)
________________________________________________________________________________ the amount
(Official Designation)
of __________________________________________________________________ ( ₱ _____________ )
(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 __________________________________________________________________________________

Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name : ____SKSU ISULAN_________ Fund Cluster : ___101 Travel Expenses_____


Date : ______________________________________ RER No. : __________________________________

RECEIVED from _____________________________________________________________________


(Name)
________________________________________________________________________________ the amount
(Official Designation)
of __________________________________________________________________ ( ₱ _____________ )
(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 __________________________________________________________________________________

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