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Bill of Claiming Conveyance

Name: Date:08/02/2019
9152
Total

Total : /-
Less Advance : 0/-
Balance Payable / Recoverable :INR /-

Rupees (In Word): Nine thousand five hundred and fifty two only.

I Certify that the work was urgent and of such nature that travel by Rail / taxi, Auto one way / or
Both ways was necessary. The expenditure is actually incurred by me and the same may be
reimbursed. Period of claim is from September 2018 to February 2019.

Recommended by Prof. In-charge Payment Sanctioned Claimant’s Signature

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