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Gen .Form No.2 Revised January 1992

The document is a template for a Reimbursement Expenses Receipt, revised in January 1992. It includes sections for the date, amount received, purpose of payment, and details for both the payee and witness. The form requires signatures and addresses for verification.

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0% found this document useful (0 votes)

10 views1 page

Gen .Form No.2 Revised January 1992

The document is a template for a Reimbursement Expenses Receipt, revised in January 1992. It includes sections for the date, amount received, purpose of payment, and details for both the payee and witness. The form requires signatures and addresses for verification.

Uploaded by

Copyright

© © All Rights Reserved

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

Available Formats

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

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Gen .Form No.

2 Revised January 1992

REIMBURSEMENT EXPENSES RECEIPT
Date: No.
RECEIVED from _____________________________
(Name)
_________________________the amount of
(Official Designation )
(P )
(in words) (in figure)
In payments for
_____________________________
( payments for subsistence, services)

Rental on transportation show inclusive dates

Purpose, distance inclusive points of travel etc.

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

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

Gen .Form No.2 Revised January 1992

REIMBURSEMENT EXPENSES RECEIPT
Date: No.
RECEIVED from _____________________________
(Name)
_________________________the amount of
(Official Designation )
(P )
(in words) (in figure)
In payments for
_____________________________
( payments for subsistence, services)

Rental on transportation show inclusive dates

Purpose, distance inclusive points of travel etc.

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

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

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