Appendix 46 Appendix 46
REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT
Entity Name: MBHTE-BARMM Fund Cluster : ________________ Entity Name: MBHTE-BARMM Fund Cluster : ________________
Date : November 15, 2019 RER No. : ___________________ Date : November 15, 2019 RER No. : ___________________
RECEIVED from ESMAERA S. NASA RECEIVED from ESMAERA S. NASA
(Name) (Name)
ADMINISTRATIVE OFFICER III the amount ADMINISTRATIVE OFFICER III the amount
(Official Designation) (Official Designation)
of FIVE HUNDRED PESOS (P500_) of _ FIVE HUNDRED PESOS (P500)
(In Words) (in Figures) (In Words) (in Figures)
in payment for TAXI FARE in payment for ______TAXI FARE_______________________________
(Payments for subsistence, services, (Payments for subsistence, services,
NOV. 15, 2019 __ NOVEMBER 15, 2019______________________________
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.)
PAYEE PAYEE
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________
WITNESS WITNESS
Name/Signature SITTIE JOHAIRA GURO Name/Signature SITTIE JOHAIRA S. GURO___________________
Address ______________________COT CITY__________________________ Address _COT CITY___________________