This document contains a reimbursement expense receipt template. The template includes fields for the entity name, date, fund cluster, and receipt number. It states that the receipt is for an amount received in payment for some purpose, from a payee and their official designation. The payee and a witness must provide their name, signature, and address. Details like inclusive dates or travel purposes should be included for payments related to subsistence, services, rental, or transportation. The document contains the template repeated in full.

1. Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Entity Name: _________________________
Date: _________________
Fund Cluster: ____________
RER No. : ________________
Entity Name: ________________________
Date: _________________
Fund Cluster: ____________
RER No. : ________________
RECEIVED from __________________________________________
(Name)
_____________________________________________ the amount of
(Official Designation)
__________________________________________ (P___________ )
(In Words) (In Figures)
in payment for ____________________________________________
(Payments for subsistence, services,
________________________________________________________
rental or transportation should show inclusive dates.
________________________________________________________
purposes, distance, inclusive points of travel, etc.)
RECEIVED from __________________________________________
(Name)
_____________________________________________ the amount of
(Official Designation)
__________________________________________ (P___________ )
(In Words) (In Figures)
in payment for ____________________________________________
(Payments for subsistence, services,
________________________________________________________
rental or transportation should show inclusive dates.
________________________________________________________
purposes, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature_______________________________________________
Address________________________________________________________
PAYEE
Name/Signature_______________________________________________
Address________________________________________________________
WITNESS
Name/Signature_______________________________________________
Address________________________________________________________
WITNESS
Name/Signature_______________________________________________
Address________________________________________________________
Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Appendix 46
REIMBURSEMENT EXPENSE RECEIPT
Entity Name: _________________________
Date: _________________
Fund Cluster: ____________
RER No. : ________________
Entity Name: ________________________
Date: _________________
Fund Cluster: ____________
RER No. : ________________
RECEIVED from ________________________________________________
(Name)
_________________________________________________ the amount of
(Official Designation)
_________________________________________________ (P___________ )
(In Words) (In Figures)
in payment for _________________________________________________
(Payments for subsistence, services,
_______________________________________________________________
rental or transportation should show inclusive dates.
_______________________________________________________________
purposes, distance, inclusive points of travel, etc.)
RECEIVED from ________________________________________________
(Name)
_________________________________________________ the amount of
(Official Designation)
________________________________________________ (P___________ )
(In Words) (In Figures)
in payment for ________________________________________________
(Payments for subsistence, services,
_______________________________________________________________
rental or transportation should show inclusive dates.
_______________________________________________________________
purposes, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature_______________________________________________
Address________________________________________________________
PAYEE
Name/Signature_______________________________________________
Address________________________________________________________
WITNESS
Name/Signature_______________________________________________
Address________________________________________________________
WITNESS
Name/Signature_______________________________________________
Address________________________________________________________