nter ,CorporateCenter

Entertainment Reimbursement

Claim Date : Claim No

Emp. No. 29/09/2020 Emp. Name

Rax No : 0010008: Deptt. & Desig.

Remark : 174 / 9650995801

Amount Requeste Amount Passed

S.No. Bill No. Bill Date
(in Rs) (in Rs)

1 B000259 16/09/2020 667.00

2 R000390 27/09/2020 660.00

3 RFS28856 28/09/2020 2125.00

TOTAL ( THREE THOUSAND FOUR HUNDRED FIFTY TWO

3452.00
Rupees ONLY)

The relevant documents in support of the above claim are enclosed.

(No.of documents attached ____).
___________________________
(SIGNATURE OF EMPLOYEE)

Printed On : 30.09.2020 3:06:08 PM Status : To Be Approved Page 1 of 1