PETROL CLAIM FOR THE MONTH OF _

NAME JOE JOHN

DESIGNATION T.S.E
AREA TRIVANDRUM

MODE OF AREA TRAVELLED OPENINING CLOSING

SL. NO DATE
TRAVEL FROM TO KM KILOMETER
1 ######### Car/bike TRIVANDRUM KALLAMBALAM 8132 8212
2 ######### Car/bike TRIVANDRUM KARUNAGAPPALY 8212 8354
4 ######### Car/bike TRIVANDRUM BALARAMAPURAM 8354 8404
5 ######### Car/bike TRIVANDRUM KAZHAKOOTAM 8404 8461
6 ######### Car/bike TRIVANDRUM KAZHAKOOTAM 8461 8518
7 ######### Car/bike TRIVANDRUM NEDUMANGAD 8518 8578
8 ######### Car/bike TRIVANDRUM KOVALAM 8678 8738
9 ######### Car/bike TRIVANDRUM ATTINGAL 8780 8850
10 ######### Car/bike TRIVANDRUM VELI 8960 9014
11 ######### Car/bike TRIVANDRUM MANGALAPURAM 9014 9094
12 ######### Car/bike TRIVANDRUM BALARAMAPURAM 9094 9144
13 ######### Car/bike TRIVANDRUM KATTAKADA 9144 9199
14 ######### Car/bike TRIVANDRUM KOVALAM 9199 9259
15 ######### Car/bike TRIVANDRUM BALARAMAPURAM 9259 9309
16 ######### Car/bike TRIVANDRUM VIZHINJAM 9418 9482
7 ######### Car/bike TRIVANDRUM PARAVOOR 9611 9716
Total
R THE MONTH OF ___________

NO OF KM STANDARD NET KILOMTER AMOUNT PER

TOTAL AMOUNT
TRAVELLED(F-G) DEDUCTION (-20 KM) (H-I) KM (15/9)
80 20 60 15 900
142 20 122 15 1830
50 20 30 15 450
57 20 37 15 555
57 20 37 15 555
60 20 40 15 600
60 20 40 15 600
70 20 50 15 750
54 20 34 15 510
80 20 60 15 900
50 20 30 15 450
55 20 35 15 525
60 20 40 15 600
50 20 30 15 450
64 20 44 15 660
105 20 85 15 1275
1094 320 774 11610