Expense Claim Form - SCA Hygiene Products India

Employee code Name of employee Month Location Designation

SCA189 Ajay Alshi Feb 17 Indore Area Sales Manager

Conveyance Detalis Travel Food /D.A Other Expenses

Local / Total /Fuel Postage &

No. of Toll+Auto Mobile/
Outstatio City From To From Reimburse Outstation Local Hotel Courier ,
Month n Travel KMs ment
+ Taxi Internet
Stationary

1-Feb-17 Local Indore D.P.jay Nagar D.P 30 225 200

2-Feb-17 Local Indore D.P. R.T.O D.P 25 187.5 200
3-Feb-17 Local Indore D.P. Indrapuri D.P 30 225 200
4-Feb-17 Local Indore D.P. R.T.O D.P 25 187.5 200
5-Feb-17 Outstation Indore Mumbai 500 867 200
6-Feb-17 Outstation Mumbai Indore 500 867 200 480 700
7-Feb-17 Local Indore Home D.P. 10 75 200
8-Feb-17 Local Indore Home Depot 20 150 200
Total 2,784 400 480 1,200 700 - -

Less: Amt
TOTAL 5,827 Claimants Signature Approved by
Advance Taken -
Submitted Date 2/2/2017 Date
NET PAYABLE 5,827
Note : This Expense Claim to be sumbitted to Accounts Department once it is completely filled
dia

xpenses Detalis

Miscellane
ous( Free
Total Receipt No Free Text
Samples,Pr
ojector

Pl Explain
425
425
425
388
1,067 1
2,247 2
425
425

-
 -
-
-
-

- 5,827

ved by
 Expense Claim Form - SCA Hygiene Products India

Employee code Name of employee Month Location Designation

SCA189 Ajay Alshi Feb 17 Indore Area Sales Manager

Conveyance Detalis Travel Food /D.A Other Expenses

Post
age Miscella
Total
Local / Mobil & neous(
/Fuel
Outstati No. of Toll+Auto + Outstati e/ Cour Free
on
City From To From Reimbu
Taxi on
Local Hotel
Inter ier , Sample
Month KMs rsemen
Travel net Stati s,Projec
t
onar tor
y Pl Explain
1-Feb-17 Local Indore D.P.jay Nagar D.P 30 225 200
2-Feb-17 Local Indore D.P. R.T.O D.P 25 187.5 200
3-Feb-17 Local Indore D.P.Indrapuri D.P 30 225 200
4-Feb-17 Local Indore D.P. R.T.O D.P 25 187.5 200
5-Feb-17 Outstati Indore Mumbai 500 867 200
6-Feb-17 Outstati Mumbai Indore 500 867 200 480 700
7-Feb-17 Local Indore Home D.P. 10 75 200
8-Feb-17 Local Indore Home Depot 20 150 200

Total 2,784 400 480 1,900 - ### - -

Less: Amt
TOTAL 5,827 Claimants Signature Approved by
Advance Taken -
Submitted Date 2/2/2017 Date
NET PAYABLE 5,827
Note : This Expense Claim to be sumbitted to Accounts Department once it is completely filled
ducts India

xpenses Detalis

Receipt Free
Total
No Text

Pl Explain
425
425
425
388
1,067 1
2,247 2
425
425
-

5,827

proved by