Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name : O'DONNELL HIGH SCHOOL Fund Cluster : ________________

Date : DECEMBER 09, 2020 RER No. :

RECEIVED from __________________________ _____________

(Name)

___________________ the amount of (PhP.___ _______)

(Official Designation)

(In Words) (in Figures)

in payment for COMMUNICATION EXPENSES FROM JUNE 2020 TO DECEMBER 2020 PER DEPED ORDER NO. 038, S.2020__
(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:

Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name : O'DONNELL HIGH SCHOOL Fund Cluster : ________________

Date : DECEMBER 09, 2020 RER No. :

RECEIVED from __________________________ _____________

(Name)
___________________ the amount of ONE THOUSAND PESOS ONLY (PhP.___1,000.00_______)
(Official Designation)

(In Words) (in Figures)

in payment for COMMUNICATION EXPENSES FROM JUNE 2020 TO DECEMBER 2020 PER DEPED ORDER NO. 038, S.2020__
(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:

WITNESS
Name/Signature :
Address:
ILAGAY PO DITO ANG TOTAL AMOUNT NG LOAD NA GINASTOS PO NINYO FROM JUNE TO DECEMBER 2020/ MAXIMUM OF 300 PESOS PER MONTH LANG PO ANG ILALAGA

ILAGAY PO NINYO PANGALAN NYO DITO(CLAIMANT) AT PIRMAHAN SA TAAS NG PANGALAN

ILAGAY PO NINYO ADDRESS NYO DITO(CLAIMANT)

ILAGAY PO NINYO PANGALAN NG WITNESS NYO DITO AT PAPIRMAHAN SA KANYA( KASAMA PO NYO SA TRABAHO DAPAT, KUNG SINO MAGPAPATUNAY NA NAGLOAD KA
ILAGAY PO NINYO ADDRESS NG WITNESS NYO DITO

ILAGAY PO DITO ANG TOTAL AMOUNT NG LOAD NA GINASTOS PO NINYO FROM JUNE TO DECEMBER 2020/ MAXIMUM OF 300 PESOS PER MONTH LANG PO ANG ILALAGA

ILAGAY PO NINYO PANGALAN NYO DITO(CLAIMANT) AT PIRMAHAN SA TAAS NG PANGALAN

ILAGAY PO NINYO ADDRESS NYO DITO(CLAIMANT)

ILAGAY PO NINYO PANGALAN NG WITNESS NYO DITO AT PAPIRMAHAN SA KANYA( KASAMA PO NYO SA TRABAHO DAPAT, KUNG SINO MAGPAPATUNAY NA NAGLOAD KA
ILAGAY PO NINYO ADDRESS NG WITNESS NYO DITO
OS PER MONTH LANG PO ANG ILALAGAY NA AMOUNT.

NO MAGPAPATUNAY NA NAGLOAD KAYO FOR THE PURPOSE OF NG TRABAHO NATIN)

OS PER MONTH LANG PO ANG ILALAGAY NA AMOUNT.

NO MAGPAPATUNAY NA NAGLOAD KAYO FOR THE PURPOSE OF NG TRABAHO NATIN)

 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Fund Cluster :
________01________
Entity Name : O'DONNELL HIGH SCHOOL
Date : DECEMBER 09, 2020 RER No. : _RER 2020-

RECEIVED from O'DONNELL HIGH SCHOOL

(Name)
the amount of ONE THOUSAND PESOS ONLY_____ (P1,000.00) ILAGAY PO DITO ANG TOTAL AMOUNT NG

(In Words) (i
in payment for COMMUNICATION EXPENSES FROM JUNE 2020 TO
DECEMBER 2020 PER DEPED ORDER NO. 038, S.2020__
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE

Name/Signature LEOPOLDO S. DALUSONG JR. ILAGAY PO NINYO PANGALAN NYO DITO(C

Address O'DONNELL, CAPAS, TARLAC ILAGAY PO NINYO ADDRESS NYO DITO(CLA
Res. Cert. No.: 30418857 KUNG WALANG CEDULA / ANY VALID ID PO
Place of Issueance: CAPAS, TARLAC ILAGAY KUNG SAAN INISSUE ANG ID

WITNESS
Name/Signature : ____GLENN R. QUITO_____ ILAGAY PO NINYO PANGALAN NG WITNESS
Address: San Felipe, San Manuel Tarlac ILAGAY PO NINYO ADDRESS NG WITNESS N
Res. Cert. No.: 30418859 KUNG WALANG CEDULA / ANY VALID ID PO
Place of Issueance: CAPAS, TARLAC ILAGAY KUNG SAAN INISSUE ANG ID

Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Fund Cluster :
________01________
Entity Name : O'DONNELL HIGH SCHOOL
Date : DECEMBER 09, 2020 RER No. : _RER 2020-

RECEIVED from O'DONNELL HIGH SCHOOL

(Name)
the amount of ONE THOUSAND PESOS ONLY_____ (P1,000.00) ILAGAY PO DITO ANG TOTAL AMOUNT NG
 (In Words) (i
in payment for COMMUNICATION EXPENSES FROM JUNE 2020 TO
DECEMBER 2020 PER DEPED ORDER NO. 038, S.2020__
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE

Name/Signature LEOPOLDO S. DALUSONG JR. ILAGAY PO NINYO PANGALAN NYO DITO(C

Address O'DONNELL, CAPAS, TARLAC ILAGAY PO NINYO ADDRESS NYO DITO(CLA
Res. Cert. No.: 30418857 KUNG WALANG CEDULA / ANY VALID ID PO
Place of Issueance: CAPAS, TARLAC ILAGAY KUNG SAAN INISSUE ANG ID

WITNESS
Name/Signature : ____GLENN R. QUITO_____
Address: San Felipe, San Manuel Tarlac
Res. Cert. No.: 30418859
Place of Issueance: CAPAS, TARLAC
ILAGAY PO NINYO PANGALAN NG WITNESS
ILAGAY PO NINYO ADDRESS NG WITNESS N
KUNG WALANG CEDULA / ANY VALID ID PO
ILAGAY KUNG SAAN INISSUE ANG ID
ANG TOTAL AMOUNT NG LOAD NA GINASTOS PO NINYO FROM JUNE TO DECEMBER 2020/ MAXIMUM OF 300 PESOS PER MONTH LANG P

O PANGALAN NYO DITO(CLAIMANT) AT PIRMAHAN SA TAAS NG PANGALAN

O ADDRESS NYO DITO(CLAIMANT)
CEDULA / ANY VALID ID PO WITH SIGNATURE
AN INISSUE ANG ID

O PANGALAN NG WITNESS NYO DITO AT PAPIRMAHAN SA KANYA( KASAMA PO NYO SA TRABAHO DAPAT, KUNG SINO MAGPAPATUNAY N
O ADDRESS NG WITNESS NYO DITO
CEDULA / ANY VALID ID PO WITH SIGNATURE
AN INISSUE ANG ID

ANG TOTAL AMOUNT NG LOAD NA GINASTOS PO NINYO FROM JUNE TO DECEMBER 2020/ MAXIMUM OF 300 PESOS PER MONTH LANG P
O PANGALAN NYO DITO(CLAIMANT) AT PIRMAHAN SA TAAS NG PANGALAN
O ADDRESS NYO DITO(CLAIMANT)
CEDULA / ANY VALID ID PO WITH SIGNATURE
AN INISSUE ANG ID

O PANGALAN NG WITNESS NYO DITO AT PAPIRMAHAN SA KANYA( KASAMA PO NYO SA TRABAHO DAPAT, KUNG SINO MAGPAPATUNAY N
O ADDRESS NG WITNESS NYO DITO
CEDULA / ANY VALID ID PO WITH SIGNATURE
AN INISSUE ANG ID
OF 300 PESOS PER MONTH LANG PO ANG ILALAGAY NA AMOUNT.

T, KUNG SINO MAGPAPATUNAY NA NAGLOAD KAYO FOR THE PURPOSE OF NG TRABAHO NATIN)

OF 300 PESOS PER MONTH LANG PO ANG ILALAGAY NA AMOUNT.

T, KUNG SINO MAGPAPATUNAY NA NAGLOAD KAYO FOR THE PURPOSE OF NG TRABAHO NATIN)