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Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Pre-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

6/29/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : RICO O. CONSTANTE
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Pre-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

6/30/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : RICO O. CONSTANTE
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Post-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

9/13/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : RICO O. CONSTANTE
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Post-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

9/14/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : RICO O. CONSTANTE
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Post-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

9/15/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : RICO O. CONSTANTE
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


NUEVA ESTRELLA NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Pre-test at
Nueva Estrella National High School, Nueva Estrella, Socorro, Surigao del Norte.
(Payments for subsistence, services,

7/3/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : JOCELYN M. VOSOTROS
Address _______Nueva Estrella, Socorro, Surigao del Norte__________________

WITNESS
Name/Signature : MICA L. LUSTIVA
Address: Nueva Estrella, Socorro, Surigao del Norte_________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


NUEVA ESTRELLA NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Pre-test at
Nueva Estrella National High School, Nueva Estrella, Socorro, Surigao del Norte.
(Payments for subsistence, services,

7/4/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : JOCELYN M. VOSOTROS
Address _______Nueva Estrella, Socorro, Surigao del Norte__________________

WITNESS
Name/Signature : MICA L. LUSTIVA
Address: Nueva Estrella, Socorro, Surigao del Norte_________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Post-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

9/13/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : JOCELYN M. VOSOTROS
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Post-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

9/14/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : JOCELYN M. VOSOTROS
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123
Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster : ________________


PAMOSAINGAN NHS RER No. : ___________________

RECEIVED from
(Name)

_______________________________________ the amount


(Official Designation)

of Four Hundred Pesos Only (P 400.00)


(In Words) (in Figures)

in payment for Meal Allowance (lunch) during the conduct of NLCA Post-test at
Pamosaingan National High School, Pamosaingan, Socorro, Surigao del Norte.
(Payments for subsistence, services,

9/15/2023
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature : JOCELYN M. VOSOTROS
Address _______Pamosaingan, Socorro, Surigao del Norte____________________

WITNESS
Name/Signature : ANNIE ROSE L. BACAMANTE
Address: Pamosaingan, Socorro, Surigao del Norte__________________________

123

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