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Appendix 46 - RER

This document provides a template for a reimbursement expense receipt. The receipt collects information about the entity receiving reimbursement such as the name, fund cluster, date, and receipt number. It also collects information about the payee including their name, official designation, the amount being reimbursed in words and figures, and what the payment is for, including relevant details like dates and purposes. Finally, it includes fields for the payee and witness signatures and addresses.

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576 views1 page

Appendix 46 - RER

This document provides a template for a reimbursement expense receipt. The receipt collects information about the entity receiving reimbursement such as the name, fund cluster, date, and receipt number. It also collects information about the payee including their name, official designation, the amount being reimbursed in words and figures, and what the payment is for, including relevant details like dates and purposes. Finally, it includes fields for the payee and witness signatures and addresses.

Uploaded by

pdmu regionix
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
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Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________ Entity Name: _________________ Fund Cluster : ________________

Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from ______________________________________ RECEIVED from ______________________________________


(Name) (Name)
_________________________________________________ the amount _________________________________________________ the amount
(Official Designation) (Official Designation)
of __________________________________________
(In Words) (P__________) (in of __________________________________________
(In Words) (P__________) (in
Figures) Figures)
in payment for _______________________________________________ in payment for _______________________________________________
(Payments for subsistence, services, (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 __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________

WITNESS WITNESS
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________

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