Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: City Schools Division of Batac Fund Cluster : ________________ Entity Name: City Schools Division of Batac Fund Cluster : ________________

Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from RALPH JAYSON T. SONICO of DepEd, Schools RECEIVED from RALPH JAYSON T. SONICO of DepEd, Schools
(Name) (Name)

Division of the City of Batac the amount Division of the City of Batac the amount
(Official Designation) (Official Designation)

of THREE HUNDRED PESOS ONLY (P 300.00 ) of THREE HUNDRED PESOS ONLY (P 300.00 )
(In Words) (in Figures) (In Words) (in Figures)
in payment for communication expenses for the month of December 2020 in payment for communication expenses for the month of December 2020
(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.)
PAYEE PAYEE

Name/Signature FELMAR'S STORE Name/Signature FELMAR'S STORE

Address BRGY. TABUG, CITY OF BATAC, ILOCOS NORTE Address BRGY. TABUG, CITY OF BATAC, ILOCOS NORTE

WITNESS WITNESS
Name/Signature JEAN MARIE M. VICENTE Name/Signature JEAN MARIE M. VICENTE
Address BRGY. BAAY, CITY OF BATAC Address BRGY. BAAY, CITY OF BATAC
 Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: City Schools Division of Batac Fund Cluster : ________________ Entity Name: City Schools Division of Batac Fund Cluster : ________________

Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from __________________________ of DepEd, Schools RECEIVED from __________________________ of DepEd, Schools
(Name) (Name)

Division of the City of Batac the amount Division of the City of Batac the amount
(Official Designation) (Official Designation)

of _____________________________________ (P ________ ) of _____________________________________ (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.)
PAYEE PAYEE

Name/Signature Name/Signature

Address Address

WITNESS WITNESS
Name/Signature Name/Signature
Address Address
 Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: City Schools Division of Batac Fund Cluster : ________________ Entity Name: City Schools Division of Batac Fund Cluster : ________________

Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from JEAN MARIE M. VICENTE of DepEd, Schools RECEIVED from JEAN MARIE M. VICENTE of DepEd, Schools
(Name) (Name)

Division of the City of Batac the amount Division of the City of Batac the amount
(Official Designation) (Official Designation)

of THREE HUNDRED PESOS ONLY (P 300.00 ) of THREE HUNDRED PESOS ONLY (P 300.00 )
(In Words) (in Figures) (In Words) (in Figures)
in payment for communication expenses for the month of December 2020 in payment for communication expenses for the month of December 2020
(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.)
PAYEE PAYEE

Name/Signature LACUESTA VARIETY STORE Name/Signature LACUESTA VARIETY STORE

Address PAYAO, CITY OF BATAC, ILOCOS NORTE Address PAYAO, CITY OF BATAC, ILOCOS NORTE

WITNESS WITNESS
Name/Signature FLORDELIZA D. AGCAOILI Name/Signature FLORDELIZA D. AGCAOILI
Address BRGY. PAYAO, CITY OF BATAC Address BRGY. PAYAO, CITY OF BATAC