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Reimbursement Expense Receipt Reimbursement Expense Receipt

This document is a reimbursement expense receipt form. It collects information such as the date, names and signatures of the payee and witness, amounts paid, and descriptions of expenses reimbursed such as subsistence, transportation with details of purpose and travel. The form is used to document reimbursement payments made.

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JUN REY GUBATON

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0% found this document useful (0 votes)

151 views1 page

Reimbursement Expense Receipt Reimbursement Expense Receipt

Uploaded by

JUN REY GUBATON

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as XLS, PDF, TXT or read online on Scribd

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REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Date No. Date No.

RECEIVED from _ RECEIVED from _

(Name) (Name)

_____ the amount of _ the amount of ________________

(Official Designation) (Amount in words) (Official Designation) (Amount in words)

(P _) as payment for _______________ (P _) as payment for ___________________________

(Payments for subsistence, services, (Payments for subsistence, services,

________________________________________________________ ________________________________________________________
rental of transportation should show inclusive clothes, purpose, distance, rental of transportation should show inclusive clothes, purpose, distance,
inclusive points of travel, etc.) 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:

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Reimbursement Expense Receipt Reimbursement Expense Receipt

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Reimbursement Expense Receipt Reimbursement Expense Receipt

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REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Date No. Date No.

RECEIVED from _____________________________________________ RECEIVED from _____________________________________________

_____________________ the amount of __________________________ _____________________ the amount of __________________________

(P ___________) as payment for _______________________________ (P ___________) as payment for _______________________________

Name & Signature: Name & Signature:

Residence Cert. No. : Residence Cert. No. :

Date of Issue: Date of Issue:

Place of Issue: Place of Issue:

Name & Signature: Name & Signature:

Residence Cert. No. : Residence Cert. No. :

Date of Issue: Date of Issue:

Place of Issue: Place of Issue:

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RECEIVED from _ RECEIVED from _

_____ the amount of _ the amount of ________________

(P _) as payment for _______________ (P _) as payment for ___________________________