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    9 views1 page

    RER Form

    Uploaded by

    christine jimenez

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Gen. Form No. 2 Revised January 1992 Gen. Form No.

    2 Revised January 1992


    REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT
    Date No. Date No.

    RECEIVED from __________________________________________ RECEIVED from __________________________________________


    (Name) (Name)

    _____________________________________________ the amount of _____________________________________________ the amount of


    (Official Designation) (Official Designation)

    __________________________________________ (P___________ ) __________________________________________ (P___________ )


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

    in payment for ____________________________________________ in payment for ____________________________________________


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

    ________________________________________________________ ________________________________________________________
    rental or transportation should show inclusive dates. rental or transportation should show inclusive dates.

    ________________________________________________________ ________________________________________________________
    purposes, distance, inclusive points of travel, etc.) purposes, distance, inclusive points of travel, etc.)

    PAYEE PAYEE
    Name/Signature_____________________________________________ Name/Signature_____________________________________________
    Address___________________________________________________ Address___________________________________________________
    Residence Cert. No._________________________________________ Residence Cert. No._________________________________________
    Date of Issue_______________________________________________ Date of Issue_______________________________________________
    Place of Issue______________________________________________ Place of Issue______________________________________________
    WITNESS WITNESS
    Name/Signature_____________________________________________ Name/Signature_____________________________________________
    Address___________________________________________________ Address___________________________________________________
    Residence Cert. No._________________________________________ Residence Cert. No._________________________________________
    Date of Issue_______________________________________________ Date of Issue_______________________________________________
    Place of Issue______________________________________________ Place of Issue______________________________________________

    Gen. Form No. 2 Revised January 1992 Gen. Form No. 2 Revised January 1992
    REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT
    Date No. Date No.

    RECEIVED from __________________________________________ RECEIVED from __________________________________________


    (Name) (Name)

    _____________________________________________ the amount of _____________________________________________ the amount of


    (Official Designation) (Official Designation)

    __________________________________________ (P___________ ) __________________________________________ (P___________ )


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

    in payment for ____________________________________________ in payment for ____________________________________________


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

    ________________________________________________________ ________________________________________________________
    rental or transportation should show inclusive dates. rental or transportation should show inclusive dates.

    ________________________________________________________ ________________________________________________________
    purposes, distance, inclusive points of travel, etc.) purposes, distance, inclusive points of travel, etc.)

    PAYEE PAYEE
    Name/Signature_____________________________________________ Name/Signature_____________________________________________
    Address___________________________________________________ Address___________________________________________________
    Residence Cert. No._________________________________________ Residence Cert. No._________________________________________
    Date of Issue_______________________________________________ Date of Issue_______________________________________________
    Place of Issue______________________________________________ Place of Issue______________________________________________
    WITNESS WITNESS
    Name/Signature_____________________________________________ Name/Signature_____________________________________________
    Address___________________________________________________ Address___________________________________________________
    Residence Cert. No._________________________________________ Residence Cert. No._________________________________________
    Date of Issue_______________________________________________ Date of Issue_______________________________________________
    Place of Issue______________________________________________ Place of Issue______________________________________________

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