Rer by Urdujah Canete - Dco
Submitted by: Submitted by Dodjieh
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Words: 269
Pages: 2
Category: Other Topics
Date Submitted: 11/30/2012 02:04 AM
PAYEE
Name/Signature _______________________________
Address _______________________________
Residence Cert. No._______________________________
Date of Issue ___________________________________
Place of Issue____________________________________
PAYEE
Name/Signature _______________________________
Address _______________________________
Residence Cert. No._______________________________
Date of Issue ___________________________________
Place of Issue____________________________________
Date No.
REIMBURSEMENT EXPENSE RECEIPT
Gen. Form No.2 Revised January 1992
RECEIVED from______________________________
(Name)
________________________________the amount of
(Official Designation)
_________________________________ (P_______)
(In Words) (In Figures)
In payment for____________________________________
(Payment for subsistence, services)
-------------------------------------------------
Rental or transportation should show inclusive dates
-------------------------------------------------
Purpose, distance, inclusive points of travel, etc.)
WITNESS
Name/Signature _______________________________
Address _______________________________
Residence Cert. No._______________________________
Date of Issue ___________________________________
Place of Issue____________________________________
Date No.
REIMBURSEMENT EXPENSE RECEIPT
RECEIVED from______________________________
(Name)
________________________________the amount of
(Official Designation)
_________________________________ (P_______)
(In Words) (In Figures)
In payment for____________________________________
(Payment for subsistence, services)
-------------------------------------------------
Rental or transportation should show inclusive dates
-------------------------------------------------
Purpose, distance, inclusive points of travel, etc.)
WITNESS
Name/Signature...
