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Fuel Claim Voucher

Name of User: Name of Driver: Month:

Mr. Manish Kulkarni/ Mr Gaurav Singh Mr. Diamond July, 2012

Vehicle Regn Brand

Dated : 1st August, 2012 MB450 KJA Rio

Date 17.07.2012 24.07.2012 31.07.2012

Ltr Filled 20.6 30.9 41.0

Rate/Ltr N 97 97 97

Total Value N 2000 3000 4000

Opening Bal KM 76583 76746 76956 0

Closing Bal KM 76746 76956

Kilometers covered 163 210 -76956 0 0 0

REMARKS

25.07.2012 Fixing tube Toll gate 100x9,Parking

400 900

TOTAL

92.5

10300.0

-76583

Total KM Covered Total Fuel Consmed Average per ltr

-76583 92.5 -827.92

Receiver's Signature

Accountant

Approved By

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