GENERAL FORM No. 2 GENERAL FORM No.

2
Revised January 1992 Revised January 1992
REMBURSEMENT EXPENSE RECEIPT

Date: ____________________ No. _______

RECEIVED from _______________________, ____________________

(Name) (Designation)
of _________________________________ the amount of ______________
(Name of school) (amount)
______________________________ (₱ ________ )

as payment for ______________________________________

REMBURSEMENT EXPENSE RECEIPT from _________________________________________and vice-versa
(Station to Station)
Date: ____________________ No. _______ to _________________________________________
Purpose)

RECEIVED from _______________________, ____________________ ______________________________________________

(Inclusive dates)
(Name) (Designation)
of _________________________________ the amount of ______________
(Name of school) (amount) PAYEE
______________________________ (₱ ________ )
Name/Signature: ___________________
as payment for ______________________________________ Address: _____________________________________________________
Comm. Tax Certificate No. ________________________________________
from _________________________________________and vice-versa
(Station to Station) Date Issued: ___________________________________________________
to _________________________________________ Place of Issue: _________________________________________________
Purpose)
______________________________________________
(Inclusive dates) WITNESS

PAYEE Name/Signature: ______________________________________________

Address: _____________________________________________________
Name/Signature: ___________________
Comm. Tax Certificate No. ________________________________________
Address: _____________________________________________________
Date Issued: ___________________________________________________
Comm. Tax Certificate No. ________________________________________
Place of Issue: _________________________________________________
Date Issued: ___________________________________________________
Place of Issue: _________________________________________________

WITNESS