Acknowledgement Receipt

Date: ______________________

Received from: _______________________________________________________________________________________

The Amount of: ______________________________________________________________________________________
______________________________________________________(Php)__________________________
As payment for: ______________________________________________________________________________________
______________________________________________________________________________________

Received by: _______________________________________________

Payee Signature over Printed Name

Address: _______________________________________________
Contact Number _______________________________________________
TIN _______________________________________________

Pailig Representative: __________________________________________

Designation: __________________________________________

(Acknowledgement Receipt is for payment where Official Receipt could not be secured)
 REIMBURSEMENT FORM
Name: Position:

Office/Designation: Residence:

Purpose of Travel:

Date Description/Places Time Means of Actual Cost Total

Visited Transportatio
(Destination) Departur Arrival n Fare Meals Lodgin Others
e g

P
Submitted by: Received by:

______________________________ ________________________________

Reviewed by: Approved by:

______________________________________ _______________________________________________
 REIMBURSEMENT FORM

Name: Position:

YONILITO NAOJA TRAINER – B3

Office/Designation: Residence:

LA SALLE UNIVERSITY (LSU) OZAMIZ OZAMIZ CITY

Purpose of Travel:
Attendance to TOT – B3 (Go Digital ASEAN PH)
Date Description/Places Time Means of Actual Cost Total
Visited Transportatio
(Destination) Departur Arrival n Fare Meals Lodgin Others
e g

Nov. 30 ABSENT

Dec. 1 350 350.00

Dec. 2 350 350.00

Dec. 3 350 350.00

Dec. 4 350 350.00

Note: Meals reimbursement during TOT – B3

P 1,400.00
Submitted by: Received by:

YONILITO NAOJA YONILITO NAOJA

Reviewed by: Approved by:

______________________________________ _______________________________________________
 REIMBURSEMENT FORM

Name: Position:

THEODORA LA REYNA VILLANUEVA TRAINER – B3

Office/Designation: Residence:

LA SALLE UNIVERSITY (LSU) OZAMIZ OZAMIZ CITY

Purpose of Travel:
Attendance to TOT – B3 (Go Digital ASEAN PH)
Date Description/Places Time Means of Actual Cost Total
Visited Transportatio
(Destination) Departur Arrival n Fare Meals Lodgin Others
e g

Nov. 30 ABSENT

Dec. 1 ABSENT

Dec. 2 350 350.00

ABSENT
Dec. 3
ABSENT
Dec. 4
Note: Meals reimbursement during TOT – B3

P 350.00
Submitted by: Received by:

Theodora La Reyna Villaneuva Theodora La Reyna Villanueva

Reviewed by: Approved by:

______________________________________ _______________________________________________
 REIMBURSEMENT FORM

Name: Position:

MARY ROSE CUARESMA TRAINER – B3

Office/Designation: Residence:

LA SALLE UNIVERSITY (LSU) OZAMIZ OZAMIZ CITY

Purpose of Travel:
Attendance to TOT – B3 (Go Digital ASEAN PH)
Date Description/Places Time Means of Actual Cost Total
Visited Transportatio
(Destination) Departur Arrival n Fare Meals Lodgin Others
e g

Nov. 30 ABSENT

Dec. 1 350 350.00

Dec. 2 350 350.00

Dec. 3 350 350.00

Dec. 4 ABSENT
Note: Meals reimbursement during TOT – B3

P 1,050.00
Submitted by: Received by:

MARY ROSE CUARESMA MARY ROSE CUARESMA

Reviewed by: Approved by:

______________________________________ _______________________________________________