Expense Statement For the period of from _____________________to______________________
Applied Date:
Mode of Application:
Statement Serial no
For the period From T0
Name: Department Name :
Employee ID/Code: Reporting Manager:
Project Name : Site Name:
Advance Taken in month:
₹ - Outstation Expenses/Allowncess Local Expenses/Allowncess Site Communication [42]
DATE DESCRIPTION Hotel Booking Travelling Accomodation Food Conveyance Telephone Laptop Rent Internet Other Mis exp/other TOTAL
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SUB TOTAL ₹ -
LESS ADVANCES ₹ -
Amount Claimed: TOTAL REIMBURSEMENT RECEIVABLE/(PAYABLE) ₹ -
Amount Approved: * Don't forget to attach receipts *If Attachment document are missing shall be same treated disallowed of submitted expenses
Net Payment:
Prepared By___________________ Approved By___________________ Entered By___________________
Name:_______________________ Name:_______________________ Name:_______________________
Expense Statement For the period of From ______01-Feb-2019_______________To__28-Feb-2019____________________
Employee Name: Lalit Kumar Sharma Department Name :
Employee ID/Code: Reporting Manager: Vijay pal Singh Sajwan
Project Name : TPTPL Trichy.EDTPL.BANGLORE Site Name: TPTPL Trichy
Team Leader Name: Tauseef /Rahul Arya Applied Date: 1-Mar-19
Date of Joining : 9-Feb-15
Advance with employee:
Site Imprest
₹ - Other/Sub Mis exp/other cash
Date Description Local Conveyance Accomodation Rent Contractor Payment Purchases Total
2/1/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/2/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/3/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/4/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/5/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/6/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/7/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/8/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/9/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/10/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/11/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/12/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/13/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/14/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/15/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/16/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/17/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/18/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/19/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/20/19 TPTPL Room To Plaza and back ₹ 60.00 ₹ 60.00
2/21/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/22/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/23/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/24/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/25/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/26/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/27/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/28/19 Agrahara room To Plaza and back ₹ 70.00 ₹ 70.00
2/20/19 TrichyNo1 rooom to Trichy santral bus stand ₹ 160.00 ₹ 160.00
2/21/19 Banglore kalasipalayam to majistick bus satand ₹ 80.00 ₹ 80.00
3/3/19 Majistick bus stand to Agrahara room ₹ 240.00 ₹ 240.00
Feb. Month Mobile Bill ₹ 300.00 ₹ 300.00
₹ 2,540.00 ₹ - ₹ - ₹ - ₹ - ₹ 2,540.00
Sub total ₹ 2,540.00
Less Advance ₹ -
Amount Claimed: Net Receiviable/ (Payable) ₹ 2,540.00
Amount Approved: *Note- Please ensure all relevant recipts , Submission without receipt will not be paid
Net Payment:
Claimed By___________________ Approved By___________________ Entered By___________________
Name:_______________________ Name:_______________________ Name:_______________________
