Professional Documents
Culture Documents
Reim of Sampling Claim Above G
Reim of Sampling Claim Above G
which are duly supported by the attached Original cash memos / invoices, evidencing purchase: Month Serial No. :
Feb 13
Invoice No. Invoice Date Category Hotels - Stay Pack Others Foods
Year :
2012-13
Store Type Hotel Amount (`)
TIN NO; 29170588757 (JP Show room,Mysore) TIN NO: 29380350943 (MORE SHOP,Mysore)
23/02/12
1138.14
23/02/13
Outside / Others
423.25
23/02/13
- Biscuits
- Staples - Confectionery - Ready to Eat
CH NO; 1100037922 (MORE SHOP,Mysore)) NO: 11647003320 Csh;276986. TIN LST: 29970136297 (Brand factory,Mysore) INV NO: 12032878 (Travel house)
- Snacks
Personal Care
2657.00
23/02/13
LRBD - WLS
WLS Store
- JP
4
- Others Matches Agarbatti GGSB - Cards - Stationery Travel House - Tour Package
JP Store
7075.00
3016.9
Total
14310.29
I declare that I have read, understood and agree to the terms and conditions of this facility and am requesting the reimbursement accordingly. Place: Mysore. Signature: Name: Department : Technical.... Date: .. 23/02/13. For Office Use only Reimbursement eligibility for current financial year: (Based on date of joining) Request received on: Request processed on: Amount reimbursed till date Amount reimbursed now: Balance eligibility: Claims processed by : Name : ` ... .. ... ` ... ` ... ` ...
PRAVEENKUMAR KITTUR
G1/level 6
Signature: