Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________

Date : _______________________ RER No. : ___________________

RECEIVED from ______________________________________

(Name)

_________________________________________________ the amount

(Official Designation)

of __________________________________________ (P__________)
(In Words) (in Figures)

in payment for _______________________________________________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

123
 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: BAGUMBAYAN ES Fund Cluster : ________________

Date : 02/07/2020 RER No. : ___________________

RECEIVED from ____Jan Justin Mandap___

(Name)

____School Property Custodian ___ the amount

(Official Designation)

of ____________Three Hundred Pesos Only__________ (P 300.00)

(In Words) (in Figures)

in payment for delivery expenditure for DEPED procured learning resources

(Payments for subsistence, services,

_on 02/07/2020 at Navotas Elementary School District I Office._________

rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ____________Ardie Gozon_______________
Address __________________Navotas City_______________

WITNESS
Name/Signature __Marilou P. Dejomo__________________________
Address _Navotas City_____________________________________

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : March 21, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Ninety Pesos Only______________ (P__90.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : March 28, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

180

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : April 4, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Ninety Pesos Only______________ (P__90.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : April 11, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : April 19, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

270

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : April 26, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Ninety Pesos Only______________ (P__90.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : May 8, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : May 25, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of ____________Thirty Pesos Only______________ (P_30.00_)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : May 29, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,

123
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

300

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : June 6, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Ninety Pesos Only______________ (P__90.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : June 15, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : June 22, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

270

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : June 29, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Thirty Pesos Only______________ (P__30.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : July 6, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : July 15, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : July 22, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________

123
 (Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

300

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : July 29, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Thirty Pesos Only______________ (P__30.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : August 5, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : August 12, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : August 19, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________

123
 (Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

300

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : August 27, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Thirty Pesos Only______________ (P__30.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : September 3, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : September 10, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : September 18, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________

123
 (Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

300

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : September 26, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Thirty Pesos Only______________ (P__30.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : October 10, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : October 18, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : October 26, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________

123
 (Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

300

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : October 26, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Thirty Pesos Only______________ (P__30.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : November 3, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : November 11, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : November 19, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________

123
 (Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

300

123
 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : November 29, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)

of _______________Ninety Pesos Only______________ (P__90.00__)

(In Words) (in Figures)

in payment for _________Communication Expense________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

Appendix 46
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: SDO NAVOTAS Fund Cluster : ________________

Date : December 6, 2020 RER No. : ___________________

RECEIVED from ESPIRITU S. LOPEZ

(Name)
Administrative Officer II the amount
(Official Designation)
of _______________Ninety Pesos Only______________ (P__90.00__)
(In Words) (in Figures)
in payment for _________Communication Expense________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________

123
 purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ______7-Eleven, Inc._____
Address ___Langaray Caloocan Branch____

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

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