Date Place From Place To Purpose Amount(Rs.) 20.04.2017 OFFICE FIELD OFFICIAL 3953 Total : 3,953 Remarks: MAR 17 MAR 17
Telephone Expenses
Claim No. : 00145324 Claim Date : 20.04.2017
Telephone Bill No. From Date To Date Total Personal Claim Amt. Number Bill Amt. Calls (Rs.) (Rs.) (Rs.) 9312229657 307853161623 27.02.2017 26.03.2017 368 65 303 Total : 303 Remarks:
GRAND TOTAL : 4,256
Signature Of Applicant Signature of HOD Checked By
NOTE: In a month, only one claim should be submitted by an individual.