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  • Reimbursement Expense Receipt Reimbursement Expense Receipt

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    JM Mora
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    The document is a standard reimbursement expense receipt form dated September 9, 2015. It acknowledges receipt of an amount in pesos from Dr. Rizalinda L. de Leon in her capacity as Chairman. The payment is specified as a cellphone allowance for January to February 2016 totaling 500 pesos or 250 pesos per month. Sections are included for payee and witness signatures and identification.

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    rer form

    Original Title

    RER v2

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    The document is a standard reimbursement expense receipt form dated September 9, 2015. It acknowledges receipt of an amount in pesos from Dr. Rizalinda L. de Leon in her capacity as Chairman. The payment is specified as a cellphone allowance for January to February 2016 totaling 500 pesos or 250 pesos per month. Sections are included for payee and witness signatures and identification.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views2 pages

    Reimbursement Expense Receipt Reimbursement Expense Receipt

    Uploaded by

    JM Mora
    The document is a standard reimbursement expense receipt form dated September 9, 2015. It acknowledges receipt of an amount in pesos from Dr. Rizalinda L. de Leon in her capacity as Chairman. The payment is specified as a cellphone allowance for January to February 2016 totaling 500 pesos or 250 pesos per month. Sections are included for payee and witness signatures and identification.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    GENERAL FORM

    Revised January 1992

    GENERAL FORM
    Revised January 1992

    REIMBURSEMENT EXPENSE RECEIPT


    Date: 9 September 2015
    RECEIVED from

    REIMBURSEMENT EXPENSE RECEIPT

    No.

    Date: 9 September 2015

    _______________________________________

    RECEIVED from

    _______________________________________

    (Name)

    (Name)

    __________________

    the amount

    __________________

    (Official Designation)

    of

    No.

    the amount

    (Official Designation)

    _________________________
    (In words)

    (P 000.00)

    of

    _________________________

    (In figures)

    (P 000.00)

    (In words)

    (In figures)

    ___________________________________________________________________

    ___________________________________________________________________

    (Payments for subsistence, services

    (Payments for subsistence, services

    ____________________________________________________

    ____________________________________________________

    rentals or transportation should show inclusive dates

    rentals or transportation should show inclusive dates

    purpose, distance, inclusive points of travel, etc.)

    purpose, distance, inclusive points of travel, etc.)

    PAYEE

    PAYEE

    Name/Signature _____ _ _____________________________


    Address
    ________________________ _____________
    Comm Tex Cert. No.
    Date of Issue
    Place of Issue

    Name/Signature _____ _ _____________________________


    Address
    ________________________ _____________
    Comm Tex Cert. No.
    Date of Issue
    Place of Issue

    WITNESS
    Name/Signature
    Address
    Comm Tax Cert No
    Date of Issue
    Place of Issue

    WITNESS
    Name/Signature
    Address
    Comm Tax Cert No
    Date of Issue
    Place of Issue

    REIMBURSEMENT EXPENSE RECEIPT


    Date: 9 September 2015
    RECEIVED from

    No.
    Dr. Rizalinda L. de Leon

    (Name)

    Chairman

    the amount

    (Official Designation)

    of

    five hundred pesos only

    (P 500.00)

    (In words)

    (In figures)

    In payment for cellphone allowance from January to February 2016


    (Payments for subsistence, services

    @Php 250.00 per month


    rentals or transportation should show inclusive dates
    purpose, distance, inclusive points of travel, etc.)

    PAYEE
    Name/Signature _____ _Diwata I. Ronda_____________________________
    Address
    ______Department of Chemical Engineeering_____________
    Comm Tex Cert. No.
    Date of Issue
    Place of Issue

    WITNESS
    Name/Signature
    Address
    Comm Tax Cert No
    Date of Issue
    Place of Issue

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