REIMBURSEMENT FORM

Date: November 28, 2016

Control No.______________
Name: Red Christian Palustre
Position: President

DESCRIPTION

ACTUAL PROJECT

ESTIMATED PROJECT
EXPENDITURES (SEE
RB LATER)

Salubong: Bagumbayani
Leaders Congress food
and transportation
expenses

Php 900.00

AMOUNT
REIMBURSABLE

Php 900.00

AMOUNT:
Requested By: ________________________________
(Signature over Printed Name)

900.00

Endorsed By: ____________________________________

(Treasurer)
Approved By: ____________________________________
(Adviser)

*Attach this form to the corresponding request for fund form with the supporting documents and surrender them to the Treasurer.