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9/3/2014

TA BILL ID : 98414TB0004 SAMPLE COPY

Ticket Purchased by office

Ticket No

Office

From

To

Date

Mode Of Travel

Travel Class

Amount

Journey Details
From Place

Start date &


Time

To Place

Arrival date &


time

Arngd
By

Mode of
travel

Travel
Class

Distance

Ticket
No

Claimed
Amount

Remarks

Bhilai

08-Aug-2014
06:45

Raipur

08-Aug-2014
08:30

OFF

ROAD

TAXI

BHILAI

08-Aug-2014
07:00

RAJNANDGAON

08-Aug-2014
08:00

OFF

ROAD

TAXI

RAJNANDGAON

08-Aug-2014
20:00

BHILAI

08-Aug-2014
21:10

OFF

ROAD

TAXI

RAIPUR

09-Aug-2014
19:00

BHILAI

09-Aug-2014
20:30

OFF

ROAD

TAXI

BHILAI

10-Aug-2014
08:00

JGDALPUR

10-Aug-2014
18:10

OFF

RAIL

TAXI

JAGDALPUR

10-Aug-2014
09:10

BHILAI

10-Aug-2014
19:10

OFF

ROAD

TAXI

BHILAI

12-Aug-2014
07:00

RAIPUR

12-Aug-2014
08:15

OFF

ROAD

TAXI

RAIPUR

13-Aug-2014
20:00

BHILAI

13-Aug-2014
21:15

OFF

ROAD

TAXI

NoDays:

Admitted
Amount

Admitted
Remark

SAMPLE COPY

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9/3/2014
TA BILL ID :

98414TB0004 SAMPLE COPY

Stay Details

DA Not Claimed

Hotel / Guest house

Place

HOTEL SOORI
INTERNATIONAL

JAGDALPUR

No. of
days

Charge
/day

2.00

1550

Claimed
Amount

Remarks

Admitted
Amount

Admitted
Remark

From Date & Time

To Date & TIme

No. Days

Remarks

3485

0.00
3485

Miscellaneous

Date

Type

Expenditure Details

Claimed Amount

Admitted Amount

Admitted Remark

SAMPLE COPY

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9/3/2014
TA BILL ID :

98414TB0004 SAMPLE COPY

Local Travel Expenses

Date

From

To

Purpose

Claimed Amount

Remarks

Admitted Amount

Admitted Remark

0
List Of Enclosure's
HOTEL BILL

SAMPLE COPY

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