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Reimbursement Expense Receipt Reimbursement Expense Receipt

The document is a standard reimbursement expense receipt form dated September 9, 2015. It acknowledges receipt of an amount in pesos from Dr. Rizalinda L. de Leon in her capacity as Chairman. The payment is specified as a cellphone allowance for January to February 2016 totaling 500 pesos or 250 pesos per month. Sections are included for payee and witness signatures and identification.

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0% found this document useful (0 votes)
30 views

Reimbursement Expense Receipt Reimbursement Expense Receipt

The document is a standard reimbursement expense receipt form dated September 9, 2015. It acknowledges receipt of an amount in pesos from Dr. Rizalinda L. de Leon in her capacity as Chairman. The payment is specified as a cellphone allowance for January to February 2016 totaling 500 pesos or 250 pesos per month. Sections are included for payee and witness signatures and identification.

Uploaded by

JM Mora
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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GENERAL FORM

Revised January 1992

GENERAL FORM
Revised January 1992

REIMBURSEMENT EXPENSE RECEIPT


Date: 9 September 2015
RECEIVED from

REIMBURSEMENT EXPENSE RECEIPT

No.

Date: 9 September 2015

_______________________________________

RECEIVED from

_______________________________________

(Name)

(Name)

__________________

the amount

__________________

(Official Designation)

of

No.

the amount

(Official Designation)

_________________________
(In words)

(P 000.00)

of

_________________________

(In figures)

(P 000.00)

(In words)

(In figures)

___________________________________________________________________

___________________________________________________________________

(Payments for subsistence, services

(Payments for subsistence, services

____________________________________________________

____________________________________________________

rentals or transportation should show inclusive dates

rentals 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
________________________ _____________
Comm Tex Cert. No.
Date of Issue
Place of Issue

Name/Signature _____ _ _____________________________


Address
________________________ _____________
Comm Tex Cert. No.
Date of Issue
Place of Issue

WITNESS
Name/Signature
Address
Comm Tax Cert No
Date of Issue
Place of Issue

WITNESS
Name/Signature
Address
Comm Tax Cert No
Date of Issue
Place of Issue

REIMBURSEMENT EXPENSE RECEIPT


Date: 9 September 2015
RECEIVED from

No.
Dr. Rizalinda L. de Leon

(Name)

Chairman

the amount

(Official Designation)

of

five hundred pesos only

(P 500.00)

(In words)

(In figures)

In payment for cellphone allowance from January to February 2016


(Payments for subsistence, services

@Php 250.00 per month


rentals or transportation should show inclusive dates
purpose, distance, inclusive points of travel, etc.)

PAYEE
Name/Signature _____ _Diwata I. Ronda_____________________________
Address
______Department of Chemical Engineeering_____________
Comm Tex Cert. No.
Date of Issue
Place of Issue

WITNESS
Name/Signature
Address
Comm Tax Cert No
Date of Issue
Place of Issue

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