Name of the IB group Company :-Lucina Land Development Limited

Claimant Name On Roles of Date ( mm / dd / yy ) Branch Code SI.NO 1 EXPENSE CATEGORY Staff Welfare

Mr. Uday Shelke Branch Type 09.05.2012 Head Office EXPENSE DETAIL Computer mouse for Vashi Office TOTAL KM DATE

Emp. Code Designation Branch Location Region PAYEE

174156 Executive Vashi 0 COST CENTRE PRODUCT AMOUNT 200.00

15-04-2012 Mr. Padmaj Sahoo

.

200.00 AMONT IN WORDS Sl #NAME? DEVIATION DETAILS / APPROVAL DEVIATION REQUIRED FOR JUSTIFICATION Approved by

CLAIMANT SIGNATURE: E-Mail : Contact No. :
ushelke@indiabulls.com

Mr. Dev Kumar Madhukar APPROVING AUTHORITY NAME

9975863310

President APPROVING AUTHORITY SIGNATURE

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