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RER Form

The document provides a template for a Reimbursement Expense Receipt. The receipt collects information about the payee such as their name, official designation, amount received in words and figures, and payment details including inclusive dates and purpose. Spaces are included for the payee and witness signatures, addresses, residence certificate numbers, dates and places of issue.

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2K views1 page

RER Form

The document provides a template for a Reimbursement Expense Receipt. The receipt collects information about the payee such as their name, official designation, amount received in words and figures, and payment details including inclusive dates and purpose. Spaces are included for the payee and witness signatures, addresses, residence certificate numbers, dates and places of issue.

Uploaded by

JOHAYNIE
Copyright
© © All Rights Reserved
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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GAAM Vol.

II
Revised January 1992

Appendix 18

GAAM Vol. II
Revised January 1992

REIMBURSEMENT EXPENSE RECEIPT


Date

No.

Appendix 18

REIMBURSEMENT EXPENSE RECEIPT


Date

No.

RECEIVED from ______________________________


(Name)

RECEIVED from ______________________________


(Name)

____________________________________________ the amount


(Official Designation)

____________________________________________ the amount


(Official Designation)

of _____________________________________ (P _____________)
(in Words)
(In Figures)

of _____________________________________ (P _____________)
(in Words)
(In Figures)

in payment for __________________________________________


(Payments for subsistence, services,

in payment for __________________________________________


(Payments for subsistence, services,

________________________________________________________
rental or transportation should show inclusive dates,

________________________________________________________
rental or transportation should show inclusive dates,

________________________________________________________
purpose, distance, inclusive points of travel, etc.)

________________________________________________________
purpose, distance, inclusive points of travel, etc.)

PAYEE

PAYEE

Name/Signature ________________________________________
Address ________________________________________________
Residence Cert. No. ______________________________________
Date of Issue ____________________________________________
Place of Issue ___________________________________________

Name/Signature ________________________________________
Address ________________________________________________
Residence Cert. No. ______________________________________
Date of Issue ____________________________________________
Place of Issue ___________________________________________

WITNESS

WITNESS

Name/Signature ________________________________________
Address ________________________________________________
Residence Cert. No. ______________________________________
Date of Issue ____________________________________________
Place of Issue ___________________________________________

Name/Signature ________________________________________
Address ________________________________________________
Residence Cert. No. ______________________________________
Date of Issue ____________________________________________
Place of Issue ___________________________________________

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