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  • Reimbursement Receipt Form

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    splef lgu
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    This document is a reimbursement expense receipt form used to reimburse individuals for expenses. It collects information such as the name and designation of the person receiving reimbursement, the amount reimbursed in words and figures, and the purpose of the reimbursement. It also collects contact and tax information from both the payee and a witness verifying the transaction.

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    Reimbursement Form

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    This document is a reimbursement expense receipt form used to reimburse individuals for expenses. It collects information such as the name and designation of the person receiving reimbursement, the amount reimbursed in words and figures, and the purpose of the reimbursement. It also collects contact and tax information from both the payee and a witness verifying the transaction.

    Copyright:

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

    Reimbursement Receipt Form

    Uploaded by

    splef lgu
    This document is a reimbursement expense receipt form used to reimburse individuals for expenses. It collects information such as the name and designation of the person receiving reimbursement, the amount reimbursed in words and figures, and the purpose of the reimbursement. It also collects contact and tax information from both the payee and a witness verifying the transaction.

    Copyright:

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

    General Form No. 2 General Form No.

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

    Received from ______________________________________ Received from ______________________________________


    (Name) (Name)
    __________________________________________________ the amount __________________________________________________ the amount
    (Official Designation) (Official Designation)
    of _____________________________________ (Php _______________) of _____________________________________ (Php _______________)
    (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

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

    PAYEE PAYEE
    Name/Signature ______________________________________________ Name/Signature ______________________________________________
    Address ____________________________________________________ Address ____________________________________________________
    Comm. Tax Cert. No.__________________________________________ Comm. Tax Cert. No.__________________________________________
    Date of Issue ________________________________________________ Date of Issue ________________________________________________
    Place of Issue _______________________________________________ Place of Issue _______________________________________________

    WITNESS WITNESS
    Name/Signature ______________________________________________ Name/Signature ______________________________________________
    Address ____________________________________________________ Address ____________________________________________________
    Comm. Tax Cert. No.__________________________________________ Comm. Tax Cert. No.__________________________________________
    Date of Issue ________________________________________________ Date of Issue ________________________________________________
    Place of Issue _______________________________________________ Place of Issue _______________________________________________
    -

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