Appendix 46 RER

The document provides a template for a reimbursement expense receipt form. It includes fields for the entity name, fund cluster, date, receipt number, payee name and signature, payee address, witness name and signature, and witness address.

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Appendix 46 RER

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elaine joy resurreccion

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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 ________________________________________________

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