Date: 30.9.

2017 WESTERN ENVIRO SOLUTIONS

PETROL EXPENSES REIMBURSEMENT CLAIM VOUCHER

Name :- Rohit
Mode of Travel : bike
Period :- 01 sep 2017 To 30 sep 2017
Date Location Particulars Total KM
9/1/2017 LnW return 100
9/2/2017 LnW return 100
9/4/2017 LnW return 100
9/5/2017 LnW return 100
9/6/2017 LnW return 100
9/7/2017 Pune (H.O) Return - Rs. 650
9/8/2017 LnW return 180
9/9/2017 LnW return 100
9/11/2017 LnW return 100
9/12/2017 LnW return 100
9/13/2017 LnW return 100
9/14/2017 LnW return 100
9/15/2017 LnW return 180
9/16/2017 LnW return 100
9/18/2017 LnW return 180
9/19/2017 LnW return 100
9/20/2017 LnW return 100
9/21/2017 LnW return 100
9/22/2017 LnW return 100
9/23/2017 LnW return 100
9/25/2017 LnW return 180
9/26/2017 LnW return 100
9/27/2017 LnW return 100
9/28/2017 LnW return + O.C return ( OLA fare - Rs. 500 - material shifting )
9/29/2017 LnW return 100
TOTAL KILOMETERS 2620
AMOUNT (@ Rs. 1.74 per km.)
TOTAL AMOUNT 5708.8

Sign Department Head HR Head Final Authority

Including pune return fares