ASPL/ADMIN/LTR/001

Issue No:001
Issue Date:01/04/2018
Review Date: 00
Local Travel Reimbursement
Name : Suresh kumar
Designation : service engineer
Month of travel: May 2019
Date Submitted: 03/06/2019

Total
Sl Journe Toll If
Date Mode Place visited Purpose amount
No y in KM Any
claimed
1 06/05/2019 Bike Mylan Hosur AMC 162 76 562
2 07/05/2019 Bike Mylan Hosur AMC 160 86 566
3 08/05/2019 Bike Market Market 35 NA 105
4 09/05/2019 Bike yeshwanthpur Parcel 32 NA 96
Amul
5 15/05/2019 Bike polymers D-funnel mesh 38 NA 114
6 16/05/2019 Bike MARKET MATERIAL PURCHASE 35 NA 105
Market,
peenya &
7 17/05/2019 Bike navarang Material purchase 65 NA 195
8 18/05/2019 Bike Post office Speed post 18 NA 54
9 20/05/2019 Bike Peenya o-rings 33 NA 99
Market &
10 21/05/2019 Bike bommasandra Tri-clamp 85 NA 255
11 29/05/2019 BIke market Material purchase 32 NA 96
Amul
30/05/201 Polymers, Die, Die purpose & material
12 9 Bike Market purchase 48 NA 144
13 31/05/2019 Bike Flowtech Cylinder 34 NA 102
Total 777 162 2331

Total Amount 2493

Approved By:______________ Claimed By :_______________

(Sign & Date) (Sign & Date)

Note:

1. Petrol re-imbursement on actual travel for visit to customers site / local purchases calculated at
Rs 3 per KM for two wheeler and RS 7 per KM for four wheelers
2. Toll bills need to be attached wherever applicable

Automed Systems pvt Ltd, 22D3, KIADB industrial Area, 1st Phase Kumbalagudu, Bangalore-560074
 ASPL/ADMIN/LTR/001
Issue No:001
Issue Date:01/04/2018
Review Date: 00
3. ASPL is not responsible for any fine due to violence of traffic rules

Automed Systems pvt Ltd, 22D3, KIADB industrial Area, 1st Phase Kumbalagudu, Bangalore-560074