Americare LLC

Petty Cash Expense Reimbursement Request Form

11 December to 31
SUBMITED BY:- Jessica Bal-iyang DATE
December 2020

DEPARTMENT:- Nursing - Homecare

DOCUMENT DOCUMENT DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT

DATE RECOVAREBLE/
SI.NO (MM/DD/YY) NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION NON-RECOVAREBLE AMT IN AED AMT IN AED AMT IN AED

1 12-Dec-20 5147 Al Arkan Supermarket 20-Dec--3741 Groceries Sharjah NON-RECOVAREBLE 2.36 47.25 49.61

2 15-Dec-20 196311 Al Hoot Al Abydh Supermarket 20-Dec--3741 Groceries Sharjah NON-RECOVAREBLE 3.72 74.4 78.12

3 20-Dec-20 6210 Al Arkan Supermarket 20-Dec--3741 Groceries Sharjah NON-RECOVAREBLE 2.95 58.93 61.88

4 23-Dec-20 32001 Sharjah Coop Society 20-Dec--3741 Groceries Sharjah NON-RECOVAREBLE 3.3 66.15 69.45

5 23-Dec-20 10028 Golden Bee Foods 20-Dec--3741 Food Sharjah NON-RECOVAREBLE 2.81 56.19 59.00

6 23-Dec-20 Carrefour Supermarket 20-Dec--3741 Groceries Sharjah NON-RECOVAREBLE 4.76 95.04 99.80

7 26-Dec-20 61674822 New West Zone Market 20-Dec--3741 Groceries Sharjah NON-RECOVAREBLE 6.8 135.9 142.70

8 31-Dec-20 20061 Burger king 20-Dec--3741 Food Sharjah NON-RECOVAREBLE 1.43 28.57 30.00

TOTAL AMT IN AED 28.13 562.43 590.56

Prepared By: Verified by Approved By

 Americare LLC
Petty Cash Expense Reimbursement Request Form
SUBMITED BY:- Sheryll L Tamang Batch 6

DEPARTMENT:- Nursing - HD Nurse Cut off date : Dec 11 to Dec 31

DOCUMENT DOCUMENT15 DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT

SI.NO DATE NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION RECOVAREBLE/ AMT IN AED AMT IN AED AMT IN AED
(MM/DD/YY) NON-RECOVAREBLE

1 12-Dec-20 ######## Viva Grocery 20-Dec--3741 Grocery Dubai Non-Recovareble 1.09 21.38 22.45

2 12-Dec-20 ####### Carrefour 22-Sep--9068 Grocery Sharjah Non-Recovareble 2.58 51.32 53.90

3 14-Dec-20 ####### Nesto 4-Aug-51 Grocery Sharjah Non-Recovareble 8.63 172.65 181.28

4 16-Dec-20 ####### Megamart 18-Oct-78 Grocery Sharjah Non-Recovareble 6.09 122.01 128.10

5 17-Dec-20 ######## Al Madeena 20-Dec--3741 Grocery Sharjah Non-Recovareble 1.78 35.5 37.28

6 17-Dec-20 ######## Al Safeer 20-Dec--3741 Grocery Sharjah Non-Recovareble 0.55 11.03 11.58

7 20-Dec-20 ######## Nesto 20-Dec--3741 Grocery Sharjah Non-Recovareble 4.87 97.44 102.31

8 21-Dec-20 ######## Lulu 20-Dec--3741 Grocery Sharjah Non-Recovareble 3.03 60.37 63.40

9 24-Dec-20 ######### Megamart 20-Dec--3741 Grocery Sharjah Non-Recovareble 3.91 77.95 81.86

10 25-Dec-20 ######### Al Madeena 20-Dec--3741 Grocery Sharjah Non-Recovareble 1.41 45.41 45.41

11 27-Dec-20 ######### Carrefour 16-Aug-27 Grocery Sharjah Non-Recovareble 1.9 18.1 20.00

12 24-Dec-20 ######### Ochado 20-Dec--3741 Food Sharjah Non-Recovareble 0 15 15.00

13

TOTAL AMT IN AED 35.84 728.16 762.57

Prepared By: Verified by Approved By
 Americare LLC
Petty Cash Expense Reimbursement Request Form
November 10-
SUBMITED BY:- Jemmalyn Ruales DATE December 10, 2020
DEPARTMENT:- Nursing - Homecare

DOCUMENT DOCUMENT DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT
DATE RECOVAREBLE/
SI.NO (MM/DD/YY) NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION NON-RECOVAREBLE AMT IN AED AMT IN AED AMT IN AED

1 12-Dec-20 G18460 Sharjah Co-op 100014634800003 Groceries Sharjah non-recovareble 18.28 365.09 383.37

2 13-Dec-20 55811 Philippines touch supermarket 100480238300003 Groceries Sharjah non-recovareble 1.13 22.67 23.8

3 13-Dec-20 443577 Lulu hypermarket 100228723100003 Groceries Sharjah non-recovareble 0.69 13.81 14.5

4 15-Dec-20 196312 Al hoot supermarket 100509944300003 Groceries Sharjah non-recovareble 1.6 32 33.6

5 22-Dec-20 L04 Nesto hypermarket 100247587700003 Groceries Sharjah non-recovareble 2.55 35.67 37.45

6 27-Dec-20 L01 Nesto hypermarket 10024758770003 Groceries Sharjah non-recovareble 5.07 101.35 106.42

7 27-Dec-20 54009 Mcdonalds 100065662700003 Food Sharjah non-recovareble 0.81 16.19 17.00

8 28-Dec-20 2301 Viva premier 10027551040003 Groceries Sharjah non-recovareble 1.87 37.38 39.25

9 28-Dec-20 Na Happy grassland restaurant 18355013733467730025 Food Sharjah non-recovareble 8.43 168.57 177

TOTAL AMT IN AED 40.43 792.73 832.39

Prepared By: Verified by Approved By

3
 Americare LLC
Petty Cash Expense Reimbursement Request Form
SUBMITED BY:- Rachelle Ann S. Rubio DATE 11-31/12/2020

DEPARTMENT:- Nursing - Homecare

DOCUMENT DOCUMENT DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT

SI.NO DATE NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION RECOVAREBLE/ AMT IN AED AMT IN AED AMT IN AED
(MM/DD/YY) NON-RECOVAREBLE

1 12-Dec-20 165709 Al Dejaj Al Shahi Fastfood 20-Dec--3741 food Sharjah non-recoverable 0.5 12 12.50

2 13-Dec-20 486 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 33.00

3 15-Dec-20 489 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 18.00

4 16-Dec-20 1845257 New West Zone Supermarket 20-Dec--3741 grocery Dubai non-recoverable 4.19 83.82 88.01

5 18-Dec-20 495 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 21.00

6 19-Dec-20 124074 Golden Bee Food Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 1.19 23.81 25.00

7 20-Dec-20 3587330 West Zone Fresh Supermarket LLC 20-Dec--3741 grocery Dubai non-recoverable 1.03 20.52 21.55

8 22-Dec-20 483 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 20.00

9 24-Dec-20 15770 Filipino Grill food Sharjah non-recoverable 117.00

10 24-Dec-20 34286 Ochaco food Sharjah non-recoverable 17.00

11 24-Dec-20 487 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 18.00

12 25-Dec-20 132636 Sun n Moon Supermarket LLC 20-Dec--3741 grocery Dubai non-recoverable 0.02 30.48 30.50

13 25-Dec-20 17 Pizza Hut 20-Dec--3741 food Sharjah non-recoverable 1.81 36.19 38.00

14 26-Dec-20 478 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 16.00

15 26-Dec-20 477 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 18.00

16 28-Dec-20 456 Papas Restaurant LLC 20-Dec--3741 food Dubai non-recoverable 36.00

TOTAL AMT IN AED 8.74 206.82 529.56

Prepared By: Verified by Approved By

 Americare LLC
Petty Cash Expense Reimbursement Request Form
SUBMITED BY:- Redilita Mantiling DATE

DEPARTMENT:- Nursing - Homecare

DOCUMENT DOCUMENT15 DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT

SI.NO DATE NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION RECOVAREBLE/ AMT IN AED AMT IN AED
(MM/DD/YY) NON-RECOVAREBLE

1 11-Dec-20 11 al qbabh restaurant 20-Dec--3741 groceries (food) sharjah NON-RECOVERABLE 16.5 330 346.50

2 16/12/2020 891000568311 sharjah coop society 20-Dec--3741 groceries (food) sharjah NON-RECOVERABLE 2.54 50.54 53.08

3 16/12/2020 89100056310 sharjah coop society 20-Dec--3741 food sharjah NON-RECOVERABLE 1.97 39.58 41.55

4 18/12/2020 321000613795 sharjah coop society 20-Dec--3741 groceries (food) sharjah NON-RECOVERABLE 6.54 130.6 137.14

5 21/12/2020 18590 drive thru groceries (food) sharjah NON-RECOVERABLE 3.6 72 75.60

6 21/12/2020 18591 drive thru groceries (food) sharjah NON-RECOVERABLE 1.35 27 28.35

7 23/12/2020 58755215 pizza huts 20-Dec--3741 groceries (food) sharjah NON-RECOVERABLE 0.36 91.9 96.50

TOTAL AMT IN AED 32.86 741.62 778.72

Prepared By: Verified by Approved By

 Americare LLC
Petty Cash Expense Reimbursement Request Form
SUBMITED BY:- Elynne Gerardo(ACH00563) CUT OFF:11/12/20 to 31/12/20

DEPARTMENT:- Nursing - Homecare

DOCUMENT DOCUMENT DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT

SI.NO DATE NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION RECOVAREBLE/ AMT IN AED AMT IN AED AMT IN AED
(MM/DD/YY) NON-RECOVAREBLE

1 11-Dec-20 103329 Tasty restaurant 20-Dec--3741 Restaurant foods Dubai NON-RECOVERABLE 0.62 12.38 13

2 10-Dec-20 1106072496 Viva Market 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 0.87 17.31 18.18

3 2-Dec-20 2800386 Aqsa Al Madina 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 5.7 113.93 119.63

4 12-Dec-20 1103303477 Viva Market 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 1.13 22.51 23.64

5 15-Dec-20 140420529 Aqsa Al Madina 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 1.3 25.93 27.23

6 17-Dec-20 2977885 Landmark restaurant 20-Dec--3741 Restaurant foods Dubai NON-RECOVERABLE 1.55 30.95 32.5

7 18-Dec-20 112692 Al Maya 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 1.47 29.43 30.9

8 20-Dec-20 1105 Viva Market 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 2.64 52.76 55.4

8 22-Dec-20 105242 Tasty restaurant 20-Dec--3741 Restaurant foods Dubai NON-RECOVERABLE 0.71 14.29 15

9 24-Dec-20 60009149 Phillipine market 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 1.43 28.58 30.01

10 25-Dec-20 32003 sharjah Co-op 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 0.92 18.33 19.25

11 25-Dec-20 707933 Telal Supermarket 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 5.47 109.37 114.84

12 28-Dec-20 113115 Al Maya 20-Dec--3741 Grocery foods Dubai NON-RECOVERABLE 1.21 24.09 25.3

TOTAL AMT IN AED 524.88

Prepared By: Grace Bernabe Verified by Approved By

 Americare LLC
Petty Cash Expense Reimbursement Request Form
Dec. 11, 2020 to Dec.
SUBMITED BY:- JENNIFER MALABANAN DATE
31,2020
DEPARTMENT:- Nursing - Homecare

DOCUMENT DOCUMENT DOCUMENT SUPPLIER SUPPLIER DOCUMENT EXPENSE VAT VAT INVOICE DOCUMENT

DATE RECOVAREBLE/
SI.NO NUMBER NAME TRN NO DESCRIPTION OF EXPENSE LOCATION AMT IN AED AMT IN AED AMT IN AED
(MM/DD/YY) NON-RECOVAREBLE

1 15-Dec-20 32001 sharjah coop society 20-Dec--3741 grocery(food) sharjah non-recoverable 27.11 489.68 489.68

2 17-Dec-20 5768 Al Arkan Supermarket 20-Dec--3741 foods sharjah non-recoverable 0.57 11.99 11.99

3 21-Dec-20 6328 Al Arkan Supermarket 20-Dec--3741 foods sharjah non-recoverable 0.47 9.9 9.90

4 29-Dec-20 7332 Al Arkan Supermarket 20-Dec--3741 foods sharjah non-recoverable 0.83 17.48 17.48

TOTAL AMT IN AED 28.98 529.05 529.05

Prepared By: Verified by Approved By

 A VAT registered supplier must issue a valid VAT invoice for the supply. Value Added Tax is a consumption tax and is collected on business transactions.
To be considered as a valid VAT invoice, the document must follow a specific format as mentioned in the legislation.
Output VAT is the value added tax you calculate and charge on your own sales of goods and services if you are registered
According to FTA, there will be two kinds of invoices for VAT in the UAE. in the VAT Register.
Supply for less than the AED 10,000 amount will be considered to maintain a simplified VAT invoice - specifically for supermarkets and
retail industry. Input VAT is the value added tax added to the price when you purchase goods or services that are liable to VAT. If the
However, supply for more than this amount will have to make a detailed invoice. (Refer Slide 9) person or businesses that is buying is registered for VAT they can deduct the amount of VAT paid from his/her settlement
Simplified VAT invoice should consider the below: with the tax authorities.
- “Tax Invoice” in a prominent place Not all VAT incurred on purchase of goods or services are recoverable from the tax authorities.
- Name, address and TRN of the supplier
- Date of Issue It may be noted that the law clearly specifies that VAT incurred on expenses in the form of employee entertainment
- Description of goods or services expenses and other expenses not related to business like personal credit card reimbursement of directors or personal
- Total amount payable expenses of directors, staff accomodation related repair and maintenance, electricity charges, paid through petty cash
- Total VAT chargeable should not be claimed. A list of recoverable/non-recoverable transactions are avaiable in the attached presentation slides
(Refer 12-20)
From 1 Jan 2018 onwards we will need to track below supplier details. This will be kept as record for any future assessment by the FTA

ProVita International Medical Center LLC

Petty Cash Expense Reimbursement Request Form
SUBMITED BY:- ABC DATE 20-Jan-18
DEPARTMENT:- Facilities Management
DOCUMENT SUPPLIER DOCUMENT EXPENSE VAT INVOICE DOCUMENT
TAX INVOICE DATE TAX INVOICE TAX REGISTRATION RECOVERABLE/
SI.NO NAME DESCRIPTION OF EXPENSE LOCATION AMT IN AED AMT IN AED AMT IN AED
(MM/DD/YY) NUMBER NUMBER (TRN) NON-RECOVERABLE
-
Maintenance related expenses incurred for Staff
Example 1 15-Jan-18 9876 Electro Mechanical Co. 123456 Accomodation PIMC AUH NON-RECOVERABLE 100.00 2,000.00 2,100.00

Example 2 17-Jan-18 ABC-1323 Emirates Motor Co. 999999 Ambulance Maintenance PIMC AUH RECOVERABLE 227.50 4,550.00 4,777.50
Example 3 19-Jan-18 XYZ-9999 Al Wadha Pharmacy 888788 Purchase of Lyrica 150 MG Cap 56's PIMC AUH RECOVERABLE - 383.40 383.40