Moradabad: Name Pankaj Arora Designation: S.O H.Q. Zone North Bareilly Submitted Through Mr. Vipin Garg

EXPENSE STATEMENT
NAME
PANKAJ ARORA
DESIGNATION:
S.O
JOURNEY
From
Dep Time To
Arrival Time
H.Q.
DISTANCE
In Kms.
FOR THE MONTH OF DEC-2013
BAREILLY
ZONE
@ MODE OF
FARE AMOUNT
JOURNEY
Rail
Bus
(A) Rs.
NIGHT
HALT
NORTH
SUBMITTED THROUGH MR. VIPIN GARG
EXPENSES ( C )
(B) DAILY
ALLOWANCE
#Tel./ Fax
400
Xerox
TOTAL
*Others
1/12/2013
SUNDAY
SUNDAY
0.00
0.00
2/12/2013
BAREILLY
BAREILLY
0.00
130.00
130.00
3/12/2013
SUNDAY
BAREILLY
0.00
130.00
130.00
4/12/2013
BAREILLY
0.00
130.00
5/12/2013
200
260.00
140.00
6/12/2013
BAREILLY
BAREILLY
BAREILLY
MORADABAD
MORADABAD
200
260.00
140.00
7/12/2013
BAREILLY
MORADABAD
200
260.00
140.00
8/12/2013
SUNDAY
SUNDAY
0.00
0.00
0.00
9/12/2013
BAREILLY
BAREILLY
0.00
130.00
130.00
10/12/2013
BAREILLY
286.00
140.00
426.00
BAREILLY
CHANDAUSI
SAMBHAL
220
11/12/2013
270
351.00
140.00
491.00
12/12/2013
PILIBHET
120
156.00
140.00
296.00
13/12/13
BAREILLY
BAREILLY
POORANPUR
190
247.00
140.00
387.00
14/12/13
BAREILLY
BAREILLY
0.00
130.00
130.00
15/12/13
SUNDAY
SUNDAY
0.00
0.00
0.00
16/12/13
MORADABAD
200
260.00
140.00
400.00
17/12/13
BAREILLY
BAREILLY
BADAUN
152
197.00
140.00
18/12/13
BAREILLY
200
260.00
140.00
400.00
19/12/13
BAREILLY
MORADABAD
CHANDAUSI
220
286.00
140.00
426.00
20/12/13
BAREILLY
BAREILLY
0.00
130.00
130.00
21/12/13
BAREILLY
MORADABAD
200
260.00
140.00
400.00
22/12/13
SUNDAY
SUNDAY
0.00
0.00
0.00
23/12/13
BAREILLY
PILIBHET
120
156.00
140.00
296.00
24/12/13
BAREILLY
BADAUN
152
197.60
140.00
337.00
25/12/13
BAREILLY
190
247.00
140.00
387.00
26/12/13
BAREILLY
POORANPUR
SAMBHAL
270
351.00
140.00
491.00
27/12/13
BAREILLY
BAREILLY
0.00
130.00
28/12/13
BAREILLY
190
247.00
140.00
29/12/13
SUNDAY
POORANPUR
SUNDAY
0.00
0.00
0.00
30/12/13
BAREILLY
KANPUR
280
364.00
285.00
649.00
31/12/13
KANPUR
BAREILLY
280
364.00
140.00
504.00
5009.00
3715.00
#Tel. (including Mobile bill) are not to be attached
REMARKS
(A+B+C)
400.00
Mobile Charge
130.00
465.00
65
0
400.00
400.00
20
357.00
130.00
53
400.00
65.00
440.00
20.00
NET PRINT
9262.00
5009
Total Days Worked :
For Mumbai Office use only
HQ :
Approved by: _________________
Claimant's Signature
ASE/ASM
Approved by: _____________

RSM/ZSM
Ex HQ :
Total Payable ______________________
Out Station :
Approved by Mumbai Office

Moradabad: Name Pankaj Arora Designation: S.O H.Q. Zone North Bareilly Submitted Through Mr. Vipin Garg

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Moradabad: Name Pankaj Arora Designation: S.O H.Q. Zone North Bareilly Submitted Through Mr. Vipin Garg

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EXPENSE STATEMENT

FOR THE MONTH OF DEC-2013

SUBMITTED THROUGH MR. VIPIN GARG

#Tel. (including Mobile bill) are not to be attached

Total Days Worked :

For Mumbai Office use only

Approved by: _____________

Total Payable ______________________

Approved by Mumbai Office

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