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Designation & Grade:
Employee Code:
Departure
Date
Hours
Station
Lahore
(Office)
Faisalabad
Faisalabad
Total =
Lahore
Arrival
Date
Mode of
Journey
Class
Hours
Amount
May 2015
8359
Division:
Distance
Travelled
by Road
(K.M)
Rate
per
K.M.
Amount
10
11
12
13
14
15
1620
8100
No. of
day
Daily Allowance
Rate
Amount
(Rs.)
SED
Other Expenses
Amount Particulars Amount
($)
16
17
18
Toll Plaza
230
Toll Plaza
230
Fueling
2,000
Fueling
1,000
Purpose
of
Journey
Expenditure
Chargeable
to Job
No.
%
19
20
21
100%
Station
Name:
Vehicle
Provided by
NESPAK
22/05/15 03:30 P.M
8,100
3,460
Ps.
---
Road Mileage
---
Daily allowance
8,100
---
Other Expenses
3,460
---
11,560
---
---
11,560
---
TOTAL
Less Advance
Net Payable/Refundable
Amount in words
Pay Rs.
Rupees
Rupees
Accountant
Accounts Officer
Signature of Claiment:
Manager Disbursements