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%& !o rney 'ates( Timings an' Expenses Date Depart re Time Pla$e Date %rrival Time Pla$e )o'e of !o rney %ir %ir Total A B& -onveyan$e Expenses Date 27/9/12 27/9/12 Pla$e ) m*ai ) m*ai .rom 2ome %irport To %irport 2ome )o'e / +iksha0 / B s / Taxi et$1 Taxi Taxi Total B 5 %mo nt 234 234 %mo nt Booke' *y %+%, Booke' *y %+%,
-& .oo' Expenses et$1 Breakfast 5 , n$h 6 Total C D& ,o'ging an' Boar'ing Expenses ,o'ging an' *oar'ing Exp1 %mo nt
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-ertifie' that the a*ove expenses have a$t ally *een in$ rre' *y me ex$ept 2alting %llo0an$e1 Pla$e Date = ) m*ai = O'tob() 11 % 2 12 >?ignat re& %nan' +athi %'visors ,t'1 -ertifie' that the a*ove traveling expenses *ill is $omplete in all respe$t an' I have satisfie' myself as far as possi*le an' to the *est of kno0le'ge that the <statement ma'e *y the employee is $orre$t1 %sst1 :en )anager / -hief )anager Department Date=
Bill Passe' for payment of +s1 >+ pees= *y 'e*it -harges %$$o nt1