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  • Expense Claim Form-IPMS-13 Mar 2013

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    Avoor Khan
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    Mohammed Iliyaz Khan submitted an expense claim form to his employer IPMS for work-related expenses totaling SR440.57. The largest expenses were SR210.57 for airline ticket cancellation charges as documented in the attached receipts, and SR230 for temporary labor costs incurred from February 16 to May 19, 2013. Khan also claimed SR3M for safety glasses. He signed the form acknowledging the accuracy and completeness of the reported expenses.

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    Mohammed Iliyaz Khan submitted an expense claim form to his employer IPMS for work-related expenses totaling SR440.57. The largest expenses were SR210.57 for airline ticket cancellation charges as documented in the attached receipts, and SR230 for temporary labor costs incurred from February 16 to May 19, 2013. Khan also claimed SR3M for safety glasses. He signed the form acknowledging the accuracy and completeness of the reported expenses.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    9 views2 pages

    Expense Claim Form-IPMS-13 Mar 2013

    Uploaded by

    Avoor Khan
    Mohammed Iliyaz Khan submitted an expense claim form to his employer IPMS for work-related expenses totaling SR440.57. The largest expenses were SR210.57 for airline ticket cancellation charges as documented in the attached receipts, and SR230 for temporary labor costs incurred from February 16 to May 19, 2013. Khan also claimed SR3M for safety glasses. He signed the form acknowledging the accuracy and completeness of the reported expenses.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    EXPENSE CLAIM FORM

    Emp. Name: Mohammed Iliyaz Khan Emp. Number:


    Department:IPMS

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    Date:

    Expense Description
    Amount (SR)
    Air Ticket

    9,393.28
    Hotel

    Toll fees

    Car Parking - airport

    Passport Renewal

    1,133.00
    Food expenses

    Telephone Bill

    Temporary Labour

    3,580.00
    Transportation

    Medical Expense

    Stationary

    Office Supplies

    Fuel & Lubricants

    Car Repair

    Other Car Expenses

    Computer Related Exp.

    Subscription

    Iqama Charges

    Others - Specify Down:
    -:

    Total

    IND-006
    Sunday, May 19, 2013

    Remarks

    14,106.28

    Note: Add other "miscellenous/not mentioned" expenses in rows 19 to 30 above

    Submitted byMohammed Iliyaz Khan Approved by:

    Mr.Prasad

    Amount received by:


    Disclaimer: I hereby acknowledge and confirm the correctness and completeness of above expense claim information.

    P. O. Box No. 5555, Dammam 31432, Kingdom of Saudi Arabia, Tel # +966 3 837 5555, Fax # +966 3 837 3333, Email:
    info@ipms.com.sa Website: http://www.ipms.com.sa

    EXPENSE CLAIM FORM


    Emp. Name: Mohammed Iliyaz Khan

    p. Number:

    Department:IPMS

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    Date:

    IND-006
    Sunday, May 19, 2013

    Expense Description
    Amount (SR)
    Remarks
    Air Ticket

    210.57 Cancellation charges; Complete bills are as attached
    Hotel

    ( SR 934.80 - SR 724.23) = 210.57


    Toll fees

    Car Parking - airport

    Passport Renewal

    Food expenses

    Telephone Bill

    Temporary Labour

    230.00 From 16-02-2013 to 19-05-2013
    Transportation

    Medical Expense

    Stationary

    Office Supplies

    Fuel & Lubricants

    Car Repair

    Other Car Expenses

    Computer Related Exp.

    Subscription

    Iqama Charges

    Others - Specify Down:
    -:
    3M Safety glasses(5pcs)

    Total

    440.57

    Note: Add other "miscellenous/not mentioned" expenses in rows 19 to 30 above

    Submitted by Mohammed Iliyaz Khan pproved by:

    Mr.Prasad

    Amount received by:


    Disclaimer: I hereby acknowledge and confirm the correctness and completeness of above expense claim information.

    P. O. Box No. 5555, Dammam 31432, Kingdom of Saudi Arabia, Tel # +966 3 837 5555, Fax # +966 3 837 3333, Email:
    info@ipms.com.sa Website: http://www.ipms.com.sa

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