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Payment Request - UNESCO CAIRO OFFICE PO Responsible Officer Submitted by: Dr. Bisher IMAM swan §> Date: 17/10/2017 If SES not created in DUO/SP or FABS by the Responsible Officer- Signature of delegated person Name. Signature .........Date: Justification documents prepared & checked by: Assistant PS Name: Ms. Hoda ABDEL-MEGUID Signature Date: 17/10/2017 UNESCO FRN 3240297476 (G/L 6012504) for UNDP AMEX issued air-tickets: A. #3 &5 & 6-7 & 17 18 & 22 & 24 (8 Experts’ ATKTS) = 64,765 EGP B. # 1-2 & 8-16 & 19-21 & 23 (15 Experts’ ATKTs) = 10,155 USD Contract valid period [including amendments if any] From 26107/2017 to 31/21/2017 Services have been delivered by the Contractor & considered satisfactory in conformity with TORS REF: FULL Payment to UNDP AMEX Delivered by contractor on: 16/10/2017 Requested for payment by PS responsible on: Amount (B): 10,175 USD > SES no 2: s-vseseeelivered by contractor on Date .-- fegistered in financial systems by PS responsible on Date AMOUNE ses Currency If the Payment Request refers to more than one installment please provide reason Checked by: 1! (7, Heh Certified by: Xorg amod 19- fo- QetT AO Visa [Certify correct] ESO Dates 49,5 2 Visaby: Director, UNESCO Cairo Office Dr. Ghaith FARIZ Signature cece Date AO Unit Received by ADMIFIN [Name AO/AA ssvesesese] OM: Date. Retumm to [Office Name/AA PS. : esesene) OM: Dat Reason for reject: i : . Inv Ref. sun PROOGSSD BY nnn sone Date Payment REF ernnecnninnennne PYOo@SSEd DY serves Dale Scanned invoices loaded on FABS corresponding record on Date Attachments: 1, Original Invoice(s) dully signed by responsible officer 2, Justification documents related to type of contract: 2. Certificates of Delivery and Acceptance by Beneficiary if Purchase Order 3. First page of the UNESCO Acceptance Reports dully signed by PS Responsible 4. Copy of Contractlamendments : B22 fi/y —7 ae 7a =

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