Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: MBHTE-BARMM Fund Cluster : ________________ Entity Name: MBHTE-BARMM Fund Cluster : ________________
Date : November 15, 2019 RER No. : ___________________ Date : November 15, 2019 RER No. : ___________________

RECEIVED from ESMAERA S. NASA RECEIVED from ESMAERA S. NASA

(Name) (Name)

ADMINISTRATIVE OFFICER III the amount ADMINISTRATIVE OFFICER III the amount
(Official Designation) (Official Designation)

of FIVE HUNDRED PESOS (P500_) of _ FIVE HUNDRED PESOS (P500)

(In Words) (in Figures) (In Words) (in Figures)

in payment for TAXI FARE in payment for ______TAXI FARE_______________________________

(Payments for subsistence, services, (Payments for subsistence, services,

NOV. 15, 2019 __ NOVEMBER 15, 2019______________________________

rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

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

Name/Signature __________________________________________ Name/Signature __________________________________________

Address ________________________________________________ Address ________________________________________________

WITNESS WITNESS

Name/Signature SITTIE JOHAIRA GURO Name/Signature SITTIE JOHAIRA S. GURO___________________

Address ______________________COT CITY__________________________ Address _COT CITY___________________