Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: MAPILI ES Fund Cluster : MOOE

Date : RER No. :

RECEIVED from Benjie R. Refil

(Name)
Teacher III/School Head of Mapili ES the amount
(Official Designation)
of Five Hundred Pesos Only (P500.00)
(In Words) (in Figures)
in payment for hauling services.
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature: EUGENE R. FERNANDO
Address: Ilaya, Balud, Masbate

WITNESS
Name/Signature: SHARON R. RUBIO
Address: Mapili, Balud, Masbate