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  • Reimbursement Expenses Receipt Reimbursement Expenses Receipt

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    Christopher Brooks
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    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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    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)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    53 views1 page

    Reimbursement Expenses Receipt Reimbursement Expenses Receipt

    Uploaded by

    Christopher Brooks
    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)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    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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