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Reimbursement Expense Receipt: Payee

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26 views2 pages

Reimbursement Expense Receipt: Payee

Uploaded by

Francis Nicor

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Download as DOCX, PDF, TXT or read online on Scribd

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General Form No.

2
Revised January 1992

REIMBURSEMENT EXPENSE RECEIPT

Date: No.

RECEIVED from _______________________________________________________________________

(Name)

________________________________________________________________________the amount of
(Official Designation)

______________________________________________________________________(P__________)
(In Words) (In Figures)

to payment for _______________________________________________________________________

(Payment for subsistence, services

____________________________________________________________________________________
rentals or transportation should show inclusive dates,

____________________________________________________________________________________
purpose, distance, inclusive places of travel, etc…)

PAYEE

Name/Signature _______________________________________________________________________

Address______________________________________________________________________________

Residence Cert. No.____________________________________________________________________

Date of Issue_________________________________________________________________________

Place of Issue ________________________________________________________________________

WITNESS

Name/Signature ______________________________________________________________________

Address______________________________________________________________________________

Residence Cert. No._____________________________________________________________________

Date of Issue___________________________________________________________________________

Place of Issue__________________________________________________________________________

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Reimbursement Expense Receipt: Payee

Uploaded by

Reimbursement Expense Receipt: Payee

Uploaded by

General Form No.

REIMBURSEMENT EXPENSE RECEIPT

RECEIVED from _______________________________________________________________________

to payment for _______________________________________________________________________

Residence Cert. No.____________________________________________________________________

Place of Issue ________________________________________________________________________

Residence Cert. No._____________________________________________________________________

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