RS Infrareality Private Limited

C.O.: 1st Floor Corporation Bank Building, Near Dariyapur Over bridge, Sultanpur-228001
Website: rscity.in E-mail: info@rscity.in

Associate Name: Date:

Vehicle No: From………………………To…………………………
Driver Name: Distance Covered:
Visit Location………………… Site At………………………. Paid Amount:

Sr. No. Customer Name Customer No. Associate Name Associate No. Signature
1

10

Note: When you submit this form, all the bills mandatory If the bill does not submit the payment will not be released.

Passed By: Accountant Signature