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Telephone Reimbursement Form

Uday Kumar, a Buyer in the Procurement department, is submitting a telephone reimbursement form requesting a total of INR 5,343.45 for mobile and broadband expenses from November 2015 to February 2016. The form lists 12 expense items with bill numbers, dates, phone numbers, and amounts. It requires the signature of the claimant and approval from his supervisor.

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Uday Kumar
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841 views

Telephone Reimbursement Form

Uday Kumar, a Buyer in the Procurement department, is submitting a telephone reimbursement form requesting a total of INR 5,343.45 for mobile and broadband expenses from November 2015 to February 2016. The form lists 12 expense items with bill numbers, dates, phone numbers, and amounts. It requires the signature of the claimant and approval from his supervisor.

Uploaded by

Uday Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TELEPHONE REIMBURSEMENT FORM

Name: UDAY KUMAR


Emp Code: 4140
Designation: Buyer, Procurement
Grade: D2
S.
No.

Type of Claim

Bill No

Bill Date

Mobile / Landline / Broadband


Number

Amount

Mobile

284072270 24/01/2016 9582712505

INR 353.02

Mobile

241314105 24/12/2015 9582712505

INR 393.49

Mobile

203540413 24/11/2016 9582712505

INR 708.94

Broadband

296848559 23/02/2016
42
296848559 23/01/2016
43
296848559 25/12/2015
44
296848559 25/11/2015
45

1486697

INR 972

1486697

INR 972

1486697

INR 972

1486697

INR 972

1
2
3
4
Broadband
5
Broadband
6
Broadband
7
8
9
10
11
12
13
14
15
16

TOTAL
Eligibility period start subject to joining date / revision date
Signature of claimant:
Approved by:

INR 5343.45

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