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___________________