ASDP Basket Fund - Ministry Of Agriculture, Food and Cooperatives

TO: Accounting Officer / Warrant HolderSub-Warrant Holder…………………………………………..The United Republic of TanzaniaRETIREMENT OF SAFARI IMPRESTANNEXURE “27.D”Name of Officer ………………………….. Department ………………………… Salary Scale ……………………..Division/District ………………………………….……………..terminated on ………………………………………………Date of commencement of Safari ………………………………………………………………………………………………Imprest No. …...……………………………… of ………..……………………. For Shs. ……………………………………OFFICER’S CERTIFICATEI certify that I travel to ………………………………………………………………………………………………………….I am therefore entitled to subsistence allowance of Shs ………………………………….………..plus incidental expenses ofShs. ……………………….were I stay for ……………………nights arrived as follows………………………………..Date of Departure Place Date of Arrived Place Number of Nights Rate of allowance Total Subsistence AllowanceADD: Incidental Expenses i.e. Tickets, Receipts etc.Total ClaimOfficer’s Signature…………………………………...AUTHORISING OFFICER’S CERTIFICATEI certify that Mr/Mrs……………………………………Travel to…………………………Where…………………………...He/she stayed for ……..…………….nights. I authorise payment of his/her claim to the extent of Shs…………………only.The claim is payable from my item……………………………………………………………………………………………..Signature. ………………..…………….Designation………………….……………..…………Date…………………………B 18