Reimbursement Form Q-Cells Systems India 10/23/2014

Sl # Expense Type Amount -INR Comments (if any)

1 Room 2,500.00
subtotal 2,500.00
2 Office supplies
subtotal -
3 Parking & Tolls
subtotal -
4 Bus 1,000.00
subtotal 1,000.00
5 Food 1,000.00
subtotal 1,000.00
6 Bus/Rail/Airtickets if purchased
subtotal -
7 Calls made on roaming/PCO
subtotal -
8 Miscellanous
subtotal -
Total INR 4,500.00
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India Expenses Reimbursement Claim Form
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Reimbursement Form Q-Cells Systems India 10/23/2014
Total reimbursement amount INR 4,500.00
DATE:
I agree that the above amounts are for company purposes, & supported by original Bills.
Signature: k.Tulasiram
Date: 10/9/2014
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