EXPENSE STATEMENT Name Designation Location Tour Date Place of Visit : BHARAT N MAHERIA : OFFICER MARKETING : BARODA-SURROUNDING DISTRICT

AREA From 21-4-11 To 20-5-11 Date Employee Code : 22-5-11 : 2847

ANKLESHWAR,BHARUCH,HALOL-KALOL-GHODHRA-DAHOD-LUNAVADA PARTICULARS AMOUNT Rs.

1 Travelling Expenses (As per details Overleaf) a Air Fare (To and From) Attach tickets b Rail Fare c Road Fare Local Outstation 2 Daily Allowance Local Outstation : : 910.00 4200.00 5110.00 : : 1257.00 3563.00 4820.00 344.00

3 Lodging Expenses (as per details Overleaf) Attach Original Bills

4 Other Expenses (as per details overleaf)

481.00

TOTAL Less advance vide CPV NoDated..

10755.00

Balance Payable To/ Receivable by the employee

10755.00

BHARAT N MAHERIA Signature of employee

Department Head

Branch In Charge/ Manager Accounts

.Receipt / Payment Voucher No..dated..

Cashier

DETAILS OF EXPENSE INCURRED Date Particulars Air Fare Rail Fare Road Fare Local O/S 10.00 38.00 25.00 20.00 30.00 20.00 10.00 32.50 39.00 39.00 32.50 20.00 77.00 20.00 20.00 20.00 15.00 10.00 22.00 58.00 20.00 20.00 58.00 57.00 20.00 20.00 20.00 87.00 20.00 6.50 71.50 65.00 39.00 32.50 48.00 19.50 26.00 20.00 57.00 20.00 15.00 25.00 20.00 20.00 30.00 20.00 90.00 Daily Allowance Local O/S 210.00 Lodging Expenses Other Expenses 50.00

21-5-11 HOUSE TO ST ST TO JAMBUSAR AUTO FARE JAMBUSAR TO AMOD -JEEP AAMOD TO PALEJ-JEEP PALEJ TO BARODA JEEP BARODA TO HOUSE AUTO 22-5-11 SUNDAY 23-5-11 HOUSE TO GOTRI 3.25*10 GOTRI TO LEHRIPURA 3.25*12 LEHRIPURA TO MAKARPURA 3.25*12 MAKARPURA TO LEHRIPURA 3.25*10 24-5-11 HOUSE TO ST AUTO ST TO PIPLOD PIPLOD TO DEVGADH BARIYA JEEP AUTOFARE DEVGADHBARIYA TO PIPLOD JEEP PIPLOD TO LIMKHEDA AUTO AUTOFARE LIMKHEDA TO GHODHRA ST GHODHRA TO BARODA ST ST TO HOUSE AUTO 25-5-11 HOUSE TO ST AUTO ST TO GHODHRA GHODHRA TO ZALOD AUTOFARE ZALOD TO LIMDI JEEP LIMDI TO ZALOD JEEP ZALOD TO BARODA ST ST TO HOUSE AUTO 26-5-11 HOUSE TO RAOPURA 3.25*2 RAOPURA TO ATLADRA 3.25*22 ATLADRA TO LEHRIPURA 3.25*20 27-5-11 HOUSE TO VAGHODIA 3.25*12 VAGHODIA TO LEHRIPURA 3.25*10 LEHRIPURA TO MAKARPURA 3.25*15 MAKARPURA TO TARSALI 3.25*6 TARSALI TO LEHRIPURA 3.25*8 28-5-11 HOUSE TO ST AUTO ST TO KHAMBHAT AUTOFARE KHAMBHAT TO DHARMAJ CROSS ROAD DHARMAJ TO PETLAD JEEP AUTOFARE PETLAD TO BORSAD AUTO BORSAD TO BARODA JEEP ST TO HOUSE AUTO 29-5-11 SUNDAY 30-5-11 HOUSE TO MAKARPURA 3.25*12 MAKARPURA TO TARSALI 3.25*8 TARSALI TO AJWA ROAD 3.25*10 AJWA ROAD TO LEHRIPURA 3.25*8 LEHRIPURA TO ST STAND AUTO ST TO AHMEDABAD ST TO HOUSE AUTO 31-5-11 AHMEDABAD OFFICE 1/6/2011 AHMEDABAD OFFICE 2/6/2011 AHMEDABAD TO RLY STATION AUTO RLY TO ANAND AUTO FARE ANAND TO UMRETH ST UMRETH TO ANAND JEEP ANAND TO BARODA JEEP ST TO HOUSE AUTO 3/6/2011 HOUSE TO MAKARPURA 3.25*17 MAKARPURA TO LEHRIPURA 3.25*15 4/6/2011 HOUSE TO ST AUTO ST TO JAMBUSAR JAMBUSAR TO AMOD AUTO AMOD TO KARJAN JEEP AUTO FARE KARJAN KARJAN TO BARODA ST ST TO HOUSE AUTO

90.00

40.00 15.00 39.00 20.00

210.00

210.00

15.00

90.00

30.00

210.00

20.00

30.00 39.00 26.00 32.00 26.00 20.00 68.00 20.00 90.00

20.00 34.00 10.00 15.00 20.00 25.00 10.00 55.25 48.75 10.00 38.00 10.00 20.00 10.00 32.00 10.00 90.00

280.00 280.00 210.00

10.00 7.00

20.00

210.00

15.00

5/6/2011 SUNDAY 6/6/2011 HOUSE TO ST AUTO ST TO HALOL AUTO FARE HALOL TO KALOL JEEP KALOL TO SEHRA ST SEHRA TO HALOL ST HALOL TO BARODA ST ST TO HOUSE AUTO 7/6/2011 HOUSE TO ST AUTO ST TO GOLGAMDI GOLGAMDI TO BODALI AUTO FARE BODALI TO KAVAT KAVAT TO BODALI JEEP BODALI TO BARODA LUXURY 8/6/2011 HOUSE TO ST AUTO ST TO LUNAVADA LUNAVADA TO SANTRAMPUR AUTOFARE SANTRAMPUR TO LUNAVADA LUNAVADA TO BARODA ST TO AUTO HOUSE 9/6/2011 HOUSE TO AUTO ST TO CHHOTAUDIPUR AUTOFARE CHHOTAUDIPUR TO PAVI-JETPUR JEEP PAVI-JETPUR TO BARODA LUXURY HOUSETO AUTO 10/6/2011 HOUSE TO AUTO ST TO RAJPIPLA AUTOFARE RAJPIPLA TO DABHOI JEEP DABHOI TO BARODA ST ST TO HOUSE AUTOFARE 11/6/2011 HOUSE TO GORWA 3.25*10 GORWA TO BAJWA 3.25*10 BAJWA TO LEHRIPURA 3.25*10 LEHRIPURA TO MAKARPURA 3.25*10 MAKARPURA TO LEHRIPURA 3.25*9 12/6/2011 SUNDAY 13-6-11 HOUSE TO VAGHODIA 3.25*10 VAGHODIA TO HARNI ROAD 3.25*8 HARNIROAD TO GORWA 3.25*10 GORWA TO AKOTA 3.25*8 AKOTA TO LEHRIPURA 3.25*9 14-6-11 HOUSE TO ST AUTO ST TO DAHOD AUTOFARE DAHOD TO PIPLOD ST PIPLOD TO BARODA ST ST TO HOUSE AUTO 15-6-11 HOUSE TO AUTO RLYTO ANKLESHWAR ANKLESHWARTO JEEP NETRANG NETRANG TO ZANKHVAV ST ZANKHVAV TO NETRANG JEEP NETRANG TO VALIA ST VALIA TO ANKLESHWAR JEEP ANKLESHWAR TORLY RLY TO HOUSE AUTO 16-6-11 HOUSE TO ST AUTO ST TO GHODHRA AUTOFARE GHODHRA TO BARODA ST BARODA TO HOUSE AUTO 17-6-11 HOUSE TO FATHAGUNJ TO MAKARPURA 3.25*13 MAKARPUR TO LEHRIPURA 3.25*10 LEHRIPUR TO GORWA 3.25*12 GORWA TO NIZAMPURA 3.25*8 NIZAMPURA TO LEHRIPURA 3.25*10 42.00 32.00 39.00 26.00 32.00 32.50 32.50 32.50 32.50 29.00

20.00 35.00 20.00 20.00 34.00 38.00 35.00 20.00 10.00 36.00 15.00 20.00 23.00 25.00 50.00 20.00 73.00 30.00 25.00 30.00 73.00 20.00 10.00 65.00 20.00 20.00 50.00 10.00 10.00 32.00 20.00 30.00 18.00 15.00 90.00

210.00

30.00 30.00 5.00

210.00

210.00

210.00

20.00

210.00

30.00

10.00

25.00 32.50 26.00 32.50 26.00 29.00 20.00 60.00 20.00 32.00 47.00 20.00 10.00 29.00 30.00 15.00 20.00 15.00 20.00 13.00 10.00 20.00 58.00 25.00 65.00 20.00 90.00 210.00 90.00

210.00

210.00

30.00

76.00

1257.OO

78 169 3563

0 910.OO

0 0 4200

481