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exce PP a= * CG, é EMPLOYEE EXPENSES APPROVAL TEMPLATE Rses ‘Company: JSW Renew Energy Three Limited Date: 15.09.2023 Location: Kallam This form is required by Accounts Payable team for processing of Employee expenses & reimbursements and has to be submitted along with supporting documents by the concerned employee after approval from the required Authorities Employee Nam ‘Akash Mishra oe vere | VMI Employee Grad ee REOMEEXX230020025 ene Start Date: 08/08/2023 Expense End Date: 10/09/2023 Reference no: JSW RENEW ENERGY THREE LIMITED/Mum-JSW Centre/Administration/12-09-2023/1243917 Amount: 26,996/- Nature of Expenses: Petty Expenses Cost Center / WBS ‘IMWP-W2-0-PRE-OTH GL Code (Optional) Remarks (if any): Expenses for guest house of Kallam Site; offices at Washi for Kallam RE Project, Maharashtra Region Kindly Adjust bills against Open Advance Details Requestor (Mandatory to provide Mobile No & Email Id for contact in case of query) ‘Name & Designation Signature with Date Akash Mishra ae ocer- Projects yr yarr® Mobile no: 6394493800 We 6 03 Email id: akash.mishra@jsw.in 4 ‘Appraver - HOD/PFA (based on ‘Approval Authority Structure) Mr. Vipin Dahiwase ‘Approver = HOD/PFA (based on Approval Authority Structure) Mr. Rajeev Kumar Joshi ~ Gf & Admin ‘Approver - HOD/PFA (based on. Approval Authority Structure) Mr. Tushar Pande - AVP —| Projects 2 wea ‘Name: |Akash Mishra "EXPENSE CLAIM VOUCHER No 40 Emp No [3007073 Date: [28.08.2023 Amount | Twenty Sie Thousand Nine Hundred and Ninety Six Only ‘Sco, Mature of expenses APE ‘Amount [Bill details 2 [is exons fo Pesore Coker Repair Yat Guest owe Mes i S| 11000 is per awached “mie exer for Recor of at Payal ues House on | 2500s peratached 5 [ise xerses for saonery- Wath Of bomber took 16.0 hs per tach a Gn |e era fv Pt aid ei aleve Med 7050 [porsche 9 [Wise erences for ndependence Day lca ah Mia 300 fepervousher 10 [Wisc verses for independence Day clean ay ig 7000 fe persvaches BT 12 [Mise expenses for Mise purchese of Phmbing Material Was Office JProdeep Traders £850.00 [As per atthe Bill, 133 [sc eens for Pumbing cae for Toit Ropar work Wash TRG Jrotsatwane 7.20.0 rs er atachea 14 [Mas epences fore ep work Wath Ofc Wertsn 3760.0] per tacos i 15 [Mapes for Plbing Miter - Kallen Guest Psi 38000 [ps peaitached 16 [se espense or var Guest House Mess Frxnaana 200 fac per sacha 17 [Mi spans for Plumbing ho fr Rep ark Walon Guem Taaee = £0000 fe perseaches il 20 Mi. epenees for Plumbing material Waan of sane 300 [sper atached a 2s. spenir for Ofer Stoney - Warn Oren finan 5 00 fe por atchoa 22 Mi. epee for Wait fice Panty fr and 52000 fos peratached Bi 2a ie spencer icra nates Wash Oe far Tai00 fac persaches 27 [Mis spenss for Coli Gas or Kaa Guest Houie fons 7623.0) per atc 25 [ Mi. expen or Latour cence Regation Foal ee Iva 730 [spe athe Bl 29 se: evpenss for tsbour Lene Rasvaton Pol ines [uae 2260 [sp ttchod [2 Mi: rpenees for Renato of abou Leones JSWAEDL [aareonine 5.6 fe per atcha 1a [se pence for OTH Sane of atom Gums Hse Fen 2000 fs peaached TOTAL 26,936.40, ay Signature of Employee 21,000 & Rupees One Thousand Only S Add Tag To Shaikh Aamir Shaikh ° Khaja @ UPI ID: aamershaikh9692@ax! on Phonepe IDBI Bank - 4042 4 esa Boh No Om sae rere a ee Br-pwise Ebehical Repair Fepmgen -heallnttuask Hause Reseed wth thanks fom Ms su) Canes Ewing wth Vd aed Borer orey fear papses — On “houjond oy To Mr Shollth dhmir ahelth Khaja. By casi HEaUEY DS Noss Dated : oi In PART/FULL Payment of a2 Bee No. Peta 08-08-2023 [a TT TATA / BT Giteon—] Sheth Amir Shai ish ow fy Std From ‘SIGNATURE /’ Akash Misra S O Bhanu gS Prakash Misra Punjab National Bank - 5623 @ Check Balance ESTIMATE adits gs as, as - v29 P22 + Ber a Paew + oa do goat Sa fers : O%/ 03/202 JS ig / ach A, Gate A No. Fh fly ar | wifear ratte v= Ie No }- Date 69 JoBj2o2n C | Received wth hanks fom Ms $09 Pond Enueyy Tw Id. Le . ae ee vy | } | ov mn E - By CASH/CHEQUE"/D.D. No. : af Dated ame / oe fee In PART/FULL Payment of our Bill No. Dated : fra wom } fee eria23, 2:34PM ‘Amazomin Order 405-5440885-4741924 amazonin Final Details for Order #405-5440885-4741924 Print this page for your records. Order Placed: 9 August 2023 Amazon.in order number: 405-5440885-4741924 Printable Order Summary | Print invoice Order Total: 825.00 DTH Recharge Recharge Status : Successful Amount 825.00 Subscriber Id/Registered Mobile : 1460718529 Operator : Tata Play (Formerly Tata Sky) BBPS Reference Number : BD0132210AAAAAN4Z08R BBPS Biller Id : TATASKYOONATOL Operator Reference Number : TP2308092333555264 Your recharge is successful on Amazon. If you are unable to view any channels after recharging your account, give a missed call from your registered mobile number on 080- 61999966. For queries please call TataSky customer care at 1800 208 6633 (toll free) {quoting the Operator Reference Number given below Payment informa Payment Method: Item(s) Subtotal: 825.00 ‘Amazon Pay balance Total: 825.00 Payment Channel Mabie) Grand Total 825.00 To view the status of your order, return to Order Summary. Please note: this is not a GST invoice. Conditions of Use & Sale | PrvacyNetice | Leeal Netice © 2012-2020, Amazon.com, Inc. and its affiliates kallem Guyrt, DH Rachory 7625 nips hew amazon inigplessisummaryiprinthtmlref=oh_aui_ejax invoice ie-UTFESorderID=405-5440885-4741024 v [clea mTOR Nan fh) fy aeeeantel alga AT cost ge sul dios sonal eri frareft ates areft avarh faserrrerg Mitte Sarah tue A dada a fess (be an 869 wos TSW - Renew N-R G alta i ‘aufSrer eer = a= 9D |Nokebook \ ao yyol- wer ta ny as as|- NG vw | bebe ae ea peay onmer AT 7 ~~ Gea fsa. srezrang..1 set yo 2a ES safe 7 Tax Invoice overs: 00428052721577405200 Invoice No. FAERET24O0000202 GIN. 240UYPCRETONLZD set oc [SWRENEM ENERGY TAREE UNITED, MAINE rE LMT, Narita tine Sotto AWALE NIRS, SOMESHAR RAGAR, _ NOMME WHA SOUSA Nn Product ary StS oracount vost ‘ote! nar: pore ler MuNcrinaye BPACE yy, 245105 Sk 1-340-000-2048 ae resco {or Ae, Phones pew PES shening and Hanaing Te cao ° 2s one 230 |catani fasion 8 Conporinent asc enate oder: phone ole Manic Unave CCE sys. |G: Sk 120-000 2moas_ tase zk {ora Tv. ones 4 new | WELSINOT f= 2 awe ° ai TOTAL PRICE: 373.00 coe Ordered Through rier He Poroks Veoe) squnee exrennise yoraLorn 2 SSShir

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