FORMAT NO.

5
EXPENSE STATEMENT FOR THE MONTH
NAME : NAVEEN CHATURVEDI DATE 5/5/2022
DESIGNATION : TBM MONTH MAY
DIVISION : FEMINORA HEAD QUARTER JABALPUR
Daily Transit
TOWNS Distance Mode of
Date Day Allowance Allowance
in Kms Travel Fare
From To Rs. Rs. Rs.
1-May-22 SUN WEEK OFF WEEK OFF
2-May-22 MON JABALPUR JABALPUR BIKE 275
3-May-22 TUE JABALPUR JABALPUR BIKE 275
4-May-22 WED JABALPUR KATNI 90*2*3.75 TRAIN 675 285
5-May-22 THU JABALPUR JABALPUR BIKE 275
6-May-22 FRI JABALPUR SATNA 190 TRAIN 190 1000
7-May-22 SAT SATNA JABALPUR 190 TRAIN 190 1000
8-May-22 SUN WEEK OFF WEEK OFF
9-May-22 MON JABALPUR JABALPUR BIKE 275
10-May-22 TUE JABALPUR JABALPUR BIKE 275
11-May-22 WED JABALPUR REWA 265 TRAIN 265 1000
12-May-22 THU REWA SHAHDOL 165 BUS 165 1000
13-May-22 FRI REWA JABALPUR 165+265 TRAIN 440 1000
14-May-22 SAT WEEK OFF WEEK OFF
15-May-22 SUN WEEK OFF WEEK OFF
16-May-22 MON JABALPUR JABALPUR BIKE 275
17-May-22 TUE JABALPUR JABALPUR BIKE 275
18-May-22 WED JABALPUR KATNI 90*2*3.75 TRAIN 675 285
19-May-22 THU JABALPUR SATNA 190 TRAIN 190 1000
20-May-22 FRI SATNA JABALPUR 190 TRAIN 190 1000
21-May-22 SAT JABALPUR JABALPUR BIKE 275
22-May-22 SUN WEEK OFF WEEK OFF
23-May-22 MON JABALPUR JABALPUR BIKE 275
24-May-22 TUE JABALPUR JABALPUR BIKE 275
25-May-22 WED JABALPUR JABALPUR BIKE 275
26-May-22 THU JABALPUR JABALPUR BIKE 275
27-May-22 FRI JABALPUR JABALPUR BIKE 275
28-May-22 SAT JABALPUR JABALPUR BIKE 275
29-May-22 SUN WEEK OFF WEEK OFF
30-May-22 MON JABALPUR REWA 265 TRAIN 265 1000
31-May-22 TUE REWA JABALPUR 265 TRAIN 265 1000
3510 13420
TOTAL
Manager's Sign: Date:
Days Spent H.Q Ex. H.Q. O.S. Transit
For Office use only:
Checked by:
Passed by:
 Misc. Exp. Total

Rs. Rs.

275
500 775 NET
150 1110 COR
500 775 MOB
700 1890 PPE
1190

275
275
1265
1165
1440

275
275
960
1190
1190
275

275
275
275
275
275
275

1265
1265
1850 18780
TOTAL
Sign: