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Reimbursement Expenses Receipt Reimbursement Expenses Receipt

This document is a reimbursement receipt form from January 1992. It provides fields for recording the date, receipt number, payee information including name, designation, and address. It also includes fields for recording the payment amount in words and figures, and what the payment was for such as subsistence, services, or transportation. Witness contact information is collected as well.
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0% found this document useful (1 vote)
257 views

Reimbursement Expenses Receipt Reimbursement Expenses Receipt

This document is a reimbursement receipt form from January 1992. It provides fields for recording the date, receipt number, payee information including name, designation, and address. It also includes fields for recording the payment amount in words and figures, and what the payment was for such as subsistence, services, or transportation. Witness contact information is collected as well.
Copyright
© Attribution Non-Commercial (BY-NC)
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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General Form No.

2
Revised January 1992

General Form No.2


Revised January 1992

REIMBURSEMENT EXPENSES RECEIPT


DATE

REIMBURSEMENT EXPENSES RECEIPT

No.

DATE

RECEIVED from ______________________________________

No.
RECEIVED from ______________________________________

(Name)

(Name)

_______________________________________________the amount of
(Official Designation)

(Official Designation)

______________________________________________(P____________)
(in words)

_______________________________________________the amount of

(In Figures)

In payment for _______________________________________________


(payment for subsistence, service,

___________________________________________________________
Rental or transportation should show inclusive dates

___________________________________________________________
Purpose, distance, inclusive points of travel, etc.)

______________________________________________(P____________)
(in words)

(In Figures)

In payment for _______________________________________________


(payment for subsistence, service,

___________________________________________________________
Rental or transportation should show inclusive dates

___________________________________________________________
Purpose, distance, inclusive points of travel, etc.)

PAYEE

PAYEE

SARAH J. GUDA
Name/Signature ______________________________________________
TABLAC, MATNOG, SORSOGON
Address _____________________________________________________
Comm. Tax Cert.No.___________________________________________
10189020
Date of Issue_________________________________________________
JANUARY 2, 2013
Place of Issue_________________________________________________
MATNOG, SORSOGON

SARAH J. GUDA
Name/Signature ______________________________________________
TABLAC, MATNOG, SORSOGON
Address _____________________________________________________
Comm.Tax Cert.No.___________________________________________
10189020
Date of Issue_________________________________________________
JANUARY 2, 2013
Place of Issue_________________________________________________
MATNOG, SORSOGON

WITNESS

WITNESS

Name/Signature ______________________________________________
Address _____________________________________________________
Comm.. Tax Cert.No.___________________________________________
Date of Issue_________________________________________________
Place of Issue_________________________________________________

Name/Signature ______________________________________________
Address _____________________________________________________
Comm.. Tax Cert.No.___________________________________________
Date of Issue_________________________________________________
Place of Issue_________________________________________________

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