EXPENSE REPORT:

Company:
Employee Name:
Employee ID:
Claim ID #:
Report print date:
Date Submitted:
Reimbursement Currency:

( ANTIROLLBACKMATERIALSEXP )

Essae Digitronics Private Limited

Sambeet Nayak
TWS006
27452
02/03/2015
-INR
INR

No of items

Scanned & E-Receipts

sub-total

0.00
5,250.00
5,250.00

0
5
5

0
0
0

Total

5,250.00

Cash:
-Billable
(0 %)
-Non-Billable (100 %)

ADVANCES:
- Received
- Set-off per this claim
- Balance outstanding
- Balance returned
Final advance balance

0.00
0.00
0.00
0.00
0.00

Amount due to employee (reimbursable)

0.00

EMPLOYEE:

Signature:

Date submitted:

APPROVER:

VERIFIER:

Signature:
NOTES:
NA

Date:

NA

Signature:

NA

[ Version 0 (Draft) ]
Page 1 of 3

Date:

Actual receipts

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
NON-BILLABLE
Customer:
TWS

TWS

TWS

TWS

Page 2 of 3

Project:
None
Notes:
Details:
From(Destination):
Class:

Expense Date:
Category:
Unique Doc ID:
Currency:
09/02/2015
Travelling Expenses TWD
354-2432
INR 1,150.00
v-02, amount claimed includes all the hardware material for running anti roll back & reserved auto fare.

Conv. Rate:

ambikapur site
g

auto

None
Notes:
Details:
From(Destination):
Class:

09/02/2015
Travelling Expenses TWD
INR 700.00
amount claimed for labour charge those who are engaged so no bill for labour charges produced.

None
Notes:
Details:
From(Destination):
Class:

10/02/2015
Travelling Expenses TWD
354-2431
INR 1,440.00
v-01, usb to serial port purchased for running antiroll back device for 2 no. sites.(ambikapur & bijuri).

None
Notes:
Details:
From(Destination):
Class:

13/02/2015
Travelling Expenses TWD
354-2434
INR 1,230.00
v-03, for all types of hardware materials purchased for runing antiroll back at bijuri.amount includes auto reserved fare also.

site
g

lodge
g

bijuri site
g

To(Returning from):

To(Returning from):

To(Returning from):

To(Returning from):

market & back

market & back

market

market & back

[ Version 0 (Draft) ]
ANTIROLLBACKMATERIALSEXP

Airline:

Airline:

Airline:

Airline:

1.000

Amount:
1,150.00

1.000

700.00

1.000

1,440.00

1.000

1,230.00

auto

auto

auto

Page 1 of 2 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

Total No of expenses:

Page 3 of 3

None
Notes:
Details:
From(Destination):
Class:

13/02/2015
Travelling Expenses TWD
INR 730.00
amount claimed for labour charges spend due to all types of unskilled works. no bill produced for labour charge.
site
g

To(Returning from):

market & back

[ Version 0 (Draft) ]
ANTIROLLBACKMATERIALSEXP

Airline:

1.000

730.00

sub-total
NON-BILLABLE TOTAL:

5,250.00
5,250.00

auto

Page 2 of 2 (of Cash report)