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Reimbursement Expense Receipt: Fund Cluster: - Date: - RER No.: School ID-2021-01

This reimbursement expense receipt document contains details of a payment made to an elementary school for hauling costs related to delivering nutrition packs from January 18th to March 20th, 2022. It lists the entity name receiving funds, date, reimbursement number, name and designation of the driver, amount paid in words and figures, and purpose of payment. Signatures and addresses are included for the payee and witness.

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Abegail Alcantara
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2K views1 page

Reimbursement Expense Receipt: Fund Cluster: - Date: - RER No.: School ID-2021-01

This reimbursement expense receipt document contains details of a payment made to an elementary school for hauling costs related to delivering nutrition packs from January 18th to March 20th, 2022. It lists the entity name receiving funds, date, reimbursement number, name and designation of the driver, amount paid in words and figures, and purpose of payment. Signatures and addresses are included for the payee and witness.

Uploaded by

Abegail Alcantara
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
Download as xls, pdf, or txt
Download as xls, pdf, or txt
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Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: ______ ELEMENTARY SCHOOL Fund Cluster : ________________


Date : _______________________ RER No. : school ID-2021-01

RECEIVED from (Drivers Name)


(Name)

TRICYCLE OPERATOR/DRIVER the amount


(Official Designation)

of ____ thousand pesos only (P__,000.00)


(In Words) (in Figures)

in payment for SBFP HAULING COST


(Payments for subsistence, services,

January 18, February 7, 14, 21, 24, March 2, 9, 16, 2022


rental or transportation should show inclusive dates,

Delivery of SBFP Nutri packs from ____S.O , (S.O Adress) to Elementary School
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature Name over printed name
Address: ______

WITNESS
Name/Signature Name over printed name
Address:

123

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