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Government RER Form

Reimbursement Expense Receipt - typically used in government liquidation transactions for "small amounts" where no official receipt is available.

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Ian Felix Alquiros

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100% found this document useful (7 votes)

7K views

Government RER Form

Reimbursement Expense Receipt - typically used in government liquidation transactions for "small amounts" where no official receipt is available.

Uploaded by

Ian Felix Alquiros

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as DOC, PDF, TXT or read online on Scribd

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REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name :______________ Fund Cluster : ______________ Entity Name :______________ Fund Cluster : ______________
Date : ____________________ RER No. : _________________ Date : ____________________ RER No. : _________________

RECEIVED from _ RECEIVED from _

(Name) (Name)

_ the amount of _ the amount of

(Official Designation) (Official Designation)

_____________________________________ (P_) _____________________________ (P_)

(in words) (in figures) (in words) (in figures)

in payment for _ in payment for _

(Payments for subsistence, services (Payments for subsistence, services

_____________________________________________________ _____________________________________________________
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

_____________________________________________________ _____________________________________________________
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)

Name/Signature Name/Signature

Address_______________________________________________ Address_______________________________________________

Name/Signature Name/Signature

Address_______________________________________________ Address_______________________________________________

Revised January 1, 2016 Revised January 1, 2016

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REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

RECEIVED from _____________________________________ RECEIVED from _____________________________________

_________________________________________ the amount of _________________________________________ the amount of

_________________________________________ (P_________) _________________________________________ (P_________)

in payment for _________________________________________ in payment for _________________________________________

Name/Signature ________________________________________ Name/Signature ________________________________________

Name/Signature ________________________________________ Name/Signature ________________________________________

Revised January 1, 2016 Revised January 1, 2016

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RECEIVED from _ RECEIVED from _

_ the amount of _ the amount of

_____________________________________ (P_) _____________________________ (P_)

in payment for _ in payment for _

Name/Signature Name/Signature

Name/Signature Name/Signature