GAAM Vol. II GAAM Vol.

II
Revised January 1992 Appendix 18 Revised January 1992 Appendix 18

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Date : RER No. : Date : RER No. :

RECEIVED from RECEIVED from

(Name) (Name)
STAFF in the amount of STAFF in the amount of
(Official Designation) (Official Designation)

(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
Residence Cert. No. Residence Cert. No.
Date of Issue Date of Issue
Place of Issue Place of Issue

WITNESS WITNESS

Name/Signature Name/Signature
Address Address
Residence Cert. No. Residence Cert. No.
Date of Issue Date of Issue
Place of Issue Place of Issue