Annex 13
REIMBURSEMENT EXPENSE RECEIPT
SK of Barangay: Nagbalayong RER No.: 2022-08-002
City/Municipality: Morong Date: August 6, 2022
Province: Bataan
RECEIVED from ____________________________________________,
Ma. Ruthchell P. Felipe
(Name)
_________________________________________________ the amount
SK Treasurer of SK Nagbalayong
(Official Designation)
of ___________________________________________
Six Hundred Pesos Only (P____________)
600.00
(In Words) (in Figures)
in payment for _______________________________________________
Rental of 6 Tables
(Payments for subsistence, services,
___________________________________________________________
for the conduct of Katipunan ng Kabataan General Assembly
rental or transportation should show inclusive dates,
___________________________________________________________
on August 6, 2022
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
MORONG MULTI PURPOSE COOP. /
Address ________________________________________________
292 Bonifacio St., Brgy. Ibaba, Bagac, Bataan
WITNESS
Name/Signature __________________________________________
MARK ANGELO SULANGI /
Address ________________________________________________
Cabildo St., Brgy. Nagbalayong, Morong, Bataan