Lucknow Metro Rail Corporation Ltd

Quarterly Claim for Reimbursement of

Entertainment of Expenses
This
is
to
certify
that
I
have
spent
an
amount
of
Rs___________(Rupees_____________________________thousands
only
)
st
th
st
st
during the period from 1 April-30 June / 1 July-3oth September / 1
October-31st December / 1st January-31st March in the year 2014-2015
as per following details:

Amount/Rs.

Expenses
incurred
on
account of Entertainment
to Guests at Office

Total

I have maintained the relevant papers, bills etc.

The amount claimed has not been claimed before and will not be
claimed here after. The admissible amount may be reimbursed to me.
*strike out which is not applicable.

Signature_________________
Name____________________
Desig
nation_______________
Emp. No__________________

Dated___________