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RER Form New

This document is a reimbursement expense receipt template used to record the reimbursement of funds from an entity to an individual. It includes fields for the entity name, fund cluster, date, receipt number, name and designation of the recipient, amount received in words and figures, purpose of the reimbursement, and signatures of the payee and witness including their addresses. The purpose is to document reimbursements of expenses for items like subsistence, services, rentals, or transportation.

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Paula Jan
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16K views1 page

RER Form New

This document is a reimbursement expense receipt template used to record the reimbursement of funds from an entity to an individual. It includes fields for the entity name, fund cluster, date, receipt number, name and designation of the recipient, amount received in words and figures, purpose of the reimbursement, and signatures of the payee and witness including their addresses. The purpose is to document reimbursements of expenses for items like subsistence, services, rentals, or transportation.

Uploaded by

Paula Jan
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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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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