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    Annex 13-Reimbursement Expense Receipt

    Uploaded by

    Vermon Jay
    This document contains a reimbursement expense receipt form and instructions for completing the form. The form is used to support expenses that cannot be issued official receipts or invoices. It requires information such as the name of the barangay, city/municipality, province, receipt number, date, name and designation of the SK official, amount paid in words and figures, details of the payment, and signatures of the payee and witness. The instructions explain how to fill out each section of the form, including the numbering system for the receipt number and required information for the payment details.

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    © All Rights Reserved
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    Annex 13-Reimbursement Expense Receipt

    Uploaded by

    Vermon Jay
    2K views2 pages
    This document contains a reimbursement expense receipt form and instructions for completing the form. The form is used to support expenses that cannot be issued official receipts or invoices. It requires information such as the name of the barangay, city/municipality, province, receipt number, date, name and designation of the SK official, amount paid in words and figures, details of the payment, and signatures of the payee and witness. The instructions explain how to fill out each section of the form, including the numbering system for the receipt number and required information for the payment details.

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    This document contains a reimbursement expense receipt form and instructions for completing the form. The form is used to support expenses that cannot be issued official receipts or invoices. It requires information such as the name of the barangay, city/municipality, province, receipt number, date, name and designation of the SK official, amount paid in words and figures, details of the payment, and signatures of the payee and witness. The instructions explain how to fill out each section of the form, including the numbering system for the receipt number and required information for the payment details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views2 pages

    Annex 13-Reimbursement Expense Receipt

    Uploaded by

    Vermon Jay
    This document contains a reimbursement expense receipt form and instructions for completing the form. The form is used to support expenses that cannot be issued official receipts or invoices. It requires information such as the name of the barangay, city/municipality, province, receipt number, date, name and designation of the SK official, amount paid in words and figures, details of the payment, and signatures of the payee and witness. The instructions explain how to fill out each section of the form, including the numbering system for the receipt number and required information for the payment details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Annex 13

    REIMBURSEMENT EXPENSE RECEIPT


    SK of Barangay: ZONE II RER No.: 2021-001
    City/Municipality: Zamboanga city Date: October 15, 2021
    Province: Zamboanga del Sur

    RECEIVED from ________ CRISTIAN C. GUMALO________________,


    (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 ________________________________________________

    Annex 13
    REIMBURSEMENT EXPENSE RECEIPT
    (RER)

    INSTRUCTIONS

    A. This form shall be used to support expenses which cannot be conveniently issued official
    receipts/invoice. It shall be accomplished as follows:

    1. SK of Barangay – name of the barangay SK


    2. City/Municipality – the city/municipality of the barangay
    3. Province – the province of the barangay
    4. RER No. – the RER shall be numbered as follows:

    0000 – 00 – 000

    Serial number (one series for each year)


    Month
    Year

    5. Date – date of preparation of the RER


    6. Name – the name of the SK official who travelled/paid the expenses
    7. Official Designation – the official designation or position of the SK official who
    travelled/paid the expenses
    8. In words – the amount in words of the actual payment made by the SK official who
    travelled/paid the expenses
    9. In figures – the amount in figures of the actual payment made by the SK official who
    travelled/paid the expenses
    10. Payments – the payments for subsistence, services, rental or transportation which show
    inclusive dates, purpose, distance, inclusive points of travel, etc.
    11. Payee – the name, signature and the address of the payee
    12. Witness – the name, signature and the address of the witness to the actual payment made
    by the SK official who travelled/paid the expenses

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