Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Entity Name: _________________ Fund Cluster : ________________
Date : _______________________ RER No. : ___________________
RECEIVED from ______________________________________
(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________
WITNESS
Name/Signature __________________________________________
Address ________________________________________________
123
Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Entity Name: _________________ Fund Cluster : ________________
Date : _______________________ RER No. : ___________________
RECEIVED from ______________________________________
(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________
WITNESS
Name/Signature __________________________________________
Address ________________________________________________
Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Entity Name: _________________ Fund Cluster : ________________
Date : _______________________ RER No. : ___________________
RECEIVED from ______________________________________
(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________
WITNESS
Name/Signature __________________________________________
Address ________________________________________________
