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TECHNOFAB ENGINEERING LIMITED

REMBURSHMENT OF CELL PHONE EXPANCES


DATE

:___________________________________________

NAME

:___________________________________________

MOBILE NO.

:___________________________________________

BILL NO.

:___________________________________________

DATE

:___________________________________________

BILL PERIOD

:___________________________________________

SL NO
1
2
3

4
5
6

DESCRIPTION
One Time Charges
Monthly Charges
Usage Charges
(a) Call Charges
(b) Value Added Services
(c) Roaming
Discounts
Taxes
Late Fee

AMOUNT(Rs.)

Total Charges

(Rupees__________________________________________________________ only)

(Copy of bill is enclosed)

SIGNATURE

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