Run Date : 18-Jan-24

PAYMENT VOUCHER

ISSUING OFFICE Voucher No : 230046041

DO611900_HYD_BEGUMPET_DO Voucher Date : 9-Jan-24
6 -3 862/A/B, 2nd floor, Issuing Office Code : 611900
Lal Banglow ,GreenLands Payment Office Code : 611900
Ameerpet
500016
India

Receiver/ : TELOS RISK MANAGEMENT & Payee Bank Name : HDFC BANK
Surveyor INSURANCE BROKING P L
Name (2D6635847)
Particulars : 61, UDYOG BHAVAN, Payee Bank : '06422000012301
SONAWALA LANE, Account Number
GOREGAON (E) Payee Bank IFSC : HDFC0000642
MUMBAI Code
400063
MAHARASHTRA
India

Sr No Invoice Number Policy Number End/Dec/Claim Ref Number Amount Vendor Tax Invoice Vendor Tax
Number Invoice Date
1 611900CN230000031549 COMMISSION 01-OCT-2023- 31,913.76 HYD2324205 17-Nov-2023
61190001NOV2023
2 611900CN230000031549- -2,751.00
TDS-CM-36448967
3 611900CN230000036445 COMMISSION 02-DEC-2023- 183,450.06 HYD2324244 05-Jan-2024
61190003DEC2023
4 611900CN230000036445- -15,815.00
TDS-CM-37174172
5 611900CN230000037394 COMMISSION 08-DEC-2023- 52,492.00 HYD2324244 05-Jan-2024
61190008DEC2023
6 611900CN230000037394- -4,448.00
TDS-CM-37307231
7 611900CN230000039217 COMMISSION 26-DEC-2023- 104,375.42 HYD2324245 05-Jan-2024
61190026DEC2023
8 611900CN230000039217- -8,998.00
TDS-CM-37627177
9 611900CN230000041216 COMMISSION 01-DEC-2023- 55,437.00 HYD2324246 05-Jan-2024
61190001JAN2024
10 611900CN230000041216- -4,698.00
TDS-CM-37757102

Net Amount (Rs.) : 390,958.24

(In Words) Rupees : Three Lakh Ninety Thousand Nine Hundred Fifty Eight and
paise Twenty Four
Cheque Favouring : TELOS RISK MANAGEMENT & INSURANCE BROKING
P L(2D6635847)
Cheque No : 602948
Cheque Date : 9-Jan-24
Bank : 00210350002503 - Disbursement Account
Payment Method : NIA_NEFT
Accountant Payment Sanctioned Cheque Signed By Receiver's Signature