Professional Documents
Culture Documents
Company:
Employee Name:
Employee ID:
Claim ID #:
Report print date:
Date Submitted:
Reimbursement Currency:
( JAJPURBILASPURTATA )
No of items
sub-total
0.00
16,454.94
16,454.94
0
22
22
0
0
0
Total
16,454.94
22
Cash:
-Billable
(0 %)
-Non-Billable (100 %)
ADVANCES:
- Received
- Set-off per this claim
- Balance outstanding
- Balance returned
Final advance balance
0.00
0.00
0.00
0.00
0.00
0.00
EMPLOYEE:
Signature:
Date submitted:
APPROVER:
VERIFIER:
Signature:
NOTES:
NA
Date:
NA
Signature:
NA
[ Version 0 (Draft) ]
Page 1 of 6
Date:
Actual receipts
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
NON-BILLABLE
Customer:
TWS
TWS
TWS
TWS
TWS
Page 2 of 6
Project:
None
Notes:
Details:
Details:
Expense Date:
15/01/2015
v-08
Category:
Unique Doc ID:
Courier Charges-TWD-Service 354-2429
courier to H.O
Supplier:
DTDC
None
Notes:
Details:
From(Destination):
Class:
17/01/2015
v-01
354-2361
INR 310.00
bbsr
g
To(Returning from):
jajpur
Airline:
None
Notes:
Details:
From(Destination):
Class:
17/01/2015
stand
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
17/01/2015
lodge
g
To(Returning from):
Airline:
None
Notes:
Details:
From date:
18/01/2015
v-06.
Lodging-TWD-City - Other
354-2378
INR 650.00
17/01/2015
To date:
18/01/2015
Location:
[ Version 0 (Draft) ]
JAJPURBILASPURTATA
Currency:
INR 250.00
Conv. Rate:
Airline:
Amount:
250.00
1.000
310.00
1.000
50.00
1.000
260.00
1.000
650.00
Bus
INR 50.00
lodge
1.000
auto
INR 260.00
auto
jajpur
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
Page 3 of 6
None
Notes:
Details:
From(Destination):
Class:
18/01/2015
v-09, for print,scan,internet.
354-2430
INR 180.00
bbsr
na
To(Returning from):
market
Airline:
None
Notes:
Details:
From(Destination):
Class:
18/01/2015
lodge
g
To(Returning from):
bus stand
Airline:
None
Notes:
Details:
From(Destination):
Class:
18/01/2015
v-02
354-2365
INR 310.00
jajpur
g
To(Returning from):
bbsr
Airline:
None
Notes:
Details:
From(Destination):
Class:
19/01/2015
v-03
354-2366
INR 1,857.47
bbsr
ac
To(Returning from):
raipur
Airline:
None
Notes:
Details:
From(Destination):
Class:
20/01/2015
v-04
354-2367
INR 480.00
raipur
g
To(Returning from):
bsp
Airline:
[ Version 0 (Draft) ]
JAJPURBILASPURTATA
1.000
180.00
1.000
60.00
1.000
310.00
1.000
1,857.47
1.000
480.00
na
INR 60.00
auto
Bus
Train
Bus
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
Page 4 of 6
None
Notes:
Details:
From(Destination):
Class:
20/01/2015
stand
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
20/01/2015
station
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
21/01/2015
lodge
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
23/01/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site i.e 22.1.15 & 23.1.15.
None
Notes:
Details:
From(Destination):
Class:
25/01/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site.i.e 24.1.15 & 25.1.15.
lodge
g
lodge
g
To(Returning from):
To(Returning from):
[ Version 0 (Draft) ]
JAJPURBILASPURTATA
INR 60.00
lodge
Airline:
Airline:
Airline:
Airline:
Airline:
1.000
220.00
1.000
640.00
1.000
680.00
auto traveller
INR 680.00
80.00
auto
INR 640.00
1.000
auto
INR 220.00
60.00
auto
INR 80.00
bus stand
1.000
auto traveller
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
TWS
TWS
TWS
Page 5 of 6
None
Notes:
Details:
From date:
27/01/2015
Lodging-TWD-City - Other
354-2379
v-07, for 07 days lodging bill claimed from 20.1.15 to 27.1.15.
INR 5,140.00
20/01/2015
To date:
Location:
None
Notes:
Details:
From(Destination):
Class:
27/01/2015
lodge
g
To(Returning from):
station
Airline:
None
Notes:
Details:
From(Destination):
Class:
27/01/2015
v-05
354-2374
INR 1,422.47
bilaspur
ac
To(Returning from):
tata
Airline:
None
Notes:
Details:
From(Destination):
Class:
27/01/2015
station
g
To(Returning from):
None
Notes:
Details:
From(Destination):
Class:
29/01/2015
Travelling Expenses TWD
for 02 no. days auto fare calimed to site.i.e. 28.1.15 & 29.1.15
lodge
g
To(Returning from):
[ Version 0 (Draft) ]
JAJPURBILASPURTATA
27/01/2015
Airline:
40.00
1.000
1,422.47
1.000
65.00
1.000
340.00
Train
auto
INR 340.00
1.000
auto
INR 65.00
Airline:
5,140.00
bilaspur
INR 40.00
lodge
1.000
auto bus
Expense Report:
Employee Name:
Sambeet Nayak
Employee ID:
TWS006
02/03/2015
CASH EXPENSES:
TWS
TWS
Total No of expenses:
Page 6 of 6
None
Notes:
Details:
Town/City:
31/01/2015
Boarding -TWD-City -Other
for 15 no. days boarding amount claimed.i.e 17.1.15 to 31.1.15.
None
Notes:
Details:
From(Destination):
Class:
31/01/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site.i.e 30.1.15 & 31.1.15.
jajpur,bilaspur,tata
lodge
g
No. of people:
To(Returning from):
22
[ Version 0 (Draft) ]
JAJPURBILASPURTATA
INR 3,000.00
1.000
3,000.00
INR 360.00
1.000
360.00
sub-total
NON-BILLABLE TOTAL:
16,454.94
16,454.94
01
Airline:
auto bus