Date Printed: 04/27/20

Amref Health Africa in Ethiopia

Printed By: AMREF\NAV.PORTAL
CLAIM/SURRENDER FORM
Created By: AMREF\YILKAL.HAILE
ORIGINAL

Surrender No: SAS_00426

Advance No ADV0758
Addis Ababa
Surrender Date: 14 Apr 2020

Staff No : FAA0418 DATE OF DEPATURE: 27 Feb 2020

Staff Name: Yilkal Haile Estifanos DATE OF RETURN:31 Mar 2020

PROGRAMME: WASH

ACTIVITY: Payment for government staffs participated on consultative meeting,Joint monitoring,and construction site supervision at both districts,

Currency: ETB

Account Posting Desription Amount Actual Spent Cost Center Budget Line
No Advanced

2102 Per dium for partners on Quarterly meeting 32,900.00 7,000.00 R190 NED74A19

2102 Per dium for partners in Technical support 42,000.00 7,000.00 R190 NED74A19
& HO
2102 Perdium for partners in community 0.00 9,800.00 R190 NED74A19
mobilization,JM
2102 Per dium for partners in drilling site 0.00 8,050.00 R190 NED74A19
supervision
2102 Payment for partners in pipe trans. 0.00 4,200.00 R190 NED74A19
facilitation
2102 Payment for partners mobilization, and 0.00 21,700.00 R190 NED74A19
supervision
2102 Payment for partners in comm.mob & 0.00 1,400.00 R190 NED74A19
supervision
2102 Payment for facilitation of leverage supply 0.00 1,750.00 R190 NED74A19

2102 Payment for partners in pipe trans. 0.00 7,000.00 R190 NED74A19
facilitation
2102 Broad band internet fee 0.00 6,197.05 R190 NED74A19

2102 Purchase of local water ,cofee ,and etc for 0.00 802.95 R190 NED74A19
office

Totals 74,900.00 74,900.00

(Under)/Over Spend 0.00

TOTAL EXPENSES

Total EXPENSE (In Words) **** SEVENTY FOUR THOUSAND NINE HUNDRED AND 0/100

PREPARED BY:: AMREF\YILKAL.HAILE 4/15/2020 10:32:29 AM

CHECKED BY: ETH\ADABA.MEKONNEN 4/15/2020 10:32:29 AM
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